Dual Eligibles for Medicare, Medicaid cost too much.
The administration that created the Patient Protection and Affordable Care Act with Medicaid expansion as a centerpiece to cover more low-income insureds is now sending out letters notifying people who have policies via health insurance exchanges to end them immediately . So called “dual eligibles” are costing too much, and now the government seeks to end the subsidies associated with them. Under Medicaid Expansion, those at a certain percentage above the Federal Poverty Level (FP), usually 133% to 138% are eligible for Medicaid, which covers 100% of their medical bills so long as an insured patient gets their healthcare via a Medicaid approved doctor or other health care provider. Insurance on the Exchanges, though subsidized, does not cover all insurance expenses but does cap annual out of pocket expenses. The effect of a household qualifying for Medicaid as well as subsidies for health insurance under the ACA is, in our opinion an overinsurance and over spend loophole that should be closed. Impact for future cost of care: those who have insurance under Medicaid stand to continue to have all health care costs covered.