Stimulating the Crowd out of Responsible Planning

Arguably, growing Medicaid in a recession is a sensible way to mitigate economic damage. But should it be done in a way that cripples the program's ability to help in the future?

For Medicaid to survive as a long-term care safety net for the poor, its generous and elastic long-term care eligibility rules will have to be tightened. But to get stimulus cash, states have to promise not to change those rules.

That provision was intended to protect access to acute care for poor families, but it will have the effect of locking in egregiously wasteful rules that crowd out responsible LTC planning and private financing.

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