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Pandemic response drove increase in government assistance in Michigan

One-third of the state is on government assistance. COVID-19 response was the dividing line

… welfare checks, health care and Medicaid, one in three Michigan residents … categories went up. The number of Medicaid recipients in Michigan grew 21% since … have to verify the eligibility of Medicaid recipients. That has changed. The … people were purged from Michigan’s Medicaid rolls just since the start of 2024.  …

One-third of Michigan residents receive government assistance

Number has grown 30% since Whitmer took office

… 2023 is 30% higher than the roughly 2.6 million served in 2019, when Whitmer took office. State welfare assistance programs include the following: Medicaid, food stamps, State Emergency Relief, the Family Independence Program, State Disability Assistance and Child Development and Care. The Michigan …

Endnotes

… 2017): 205-230. 23 Thomas DeLeire, Leonard M. Lopoo and Kosali I. Simon, “Medicaid expansions and fertility in the United States” (Demography 48, no. 2, … Economics 66, 2017): 119-131; Friederike Seifert, "The Affordable Care Act Medicaid expansion and interstate migration in border regions of US States" (Review …

Public finances

… greater welfare benefits but that the stringency of rules had no discernible effect on migration patterns.[75] One study evaluates the effect of Medicaid expansion in Massachusetts in 2010. The authors find that Massachusetts’ health insurance subsidies for low-income individuals led to significant …

Potential factors influencing death rates

… and a 4% increase on other roads.”[42] [*] This ratio is the sum of social service and public health spending divided by the sum of Medicare and Medicaid spending. Elizabeth H. Bradley, Maureen Canavan, Erika Rogan, Kristina Talbert-Slagle, Chima Ndumele, Lauren Taylor and Leslie A. Curry, "Variation …

Potential factors influencing birth rates

… health care coverage to low-income households. Examining the impact of Medicaid expansions in the 1980s, a team of researchers “conclude that there is no robust relationship between Medicaid expansions and fertility.”[23] Researchers often note the need for broad-based …

‘That is what makes health care so different from every other sector of the economy’

Brian Blase on putting the customer back in the health care system

… through private insurance or through the government programs Medicare and Medicaid. Part of the reason for this is third-party payments. Insurers pay medical … cover. And taxpayers cover the costs for people enrolled in Medicare and Medicaid. “We’ve done a pretty good job of suppressing who pays for all the health …

A Jarrett of All Trades

Meet Jarrett Skorup, Vice President for Marketing and Communications

… proposals would have elevated union contracts above state law, mandated more industrial wind turbines, and allowed a union to keep skimming dues from Medicaid payments to home health care workers. Jarrett gave more than 30 speeches around the state warning about the effects of these proposals. He also …

COVID flexibilities that should outlive COVID-19

Here are nine suggestions for improving care and reducing costs

… provider relationships. 5. Reserve Medicaid resources for the truly needy Medicaid is the largest line item in most … priorities. In 2020, more than 25% of Medicaid spending went to people who do not … insurers to deliver much of the Medicaid program, every ineligible enrollee …

Michigan deserves accountability for Medicaid

States must resume checking for eligibility

… eligibility for those receiving Medicaid. But Gov. Gretchen Whitmer … to ensure people receiving Medicaid are eligible for it, Michigan … to protect the profits of Medicaid insurance companies at the … engaged in routine reviews of Medicaid beneficiaries' eligibility. … enrollment of everyone on Medicaid — even if enrollees became …

Worker freedom and individual liberty

… typically the family of seriously ill or disabled people who qualified for Medicaid support. For the care they provided, these family members received modest … bargain. The union, nevertheless, siphoned over $33 million from these Medicaid payments — money meant to care for the sick and disabled. After the Michigan …

Pass a Sustainable Michigan Budget

Population growth plus inflation equals enough spending for everybody

… recommendation to spend all of the collected tax revenue. This doesn’t give lawmakers a lot of room to respond to unexpected needs, like increased demand for Medicaid in the event of an unexpected recession. Plus, the desire to spend all tax revenue puts pressure on lawmakers to increase taxes if revenue drops …

Federal program forces drug companies to fund hospital profits

Program meant to support charity care enriches hospitals

… 340B program only does this indirectly, if at all. Yes, the program is limited to nonprofit hospitals serving a higher percentage of patients on Medicaid. But there’s no requirement that hospitals use the profits they make from it to help low-income patients, which works against the spirit behind the …

Local governments in Michigan can’t keep extra cash from tax foreclosures, but state has other ways to claim money

An auction netted the county $260k, says an heir whose aunt’s property was taken by officials, but Medicaid administrators may take it all anyway

… Services asserted a claim of its own. The department said that under the policy of estate recovery, it was due the surplus as repayment for funds its Medicaid program had spent on Bouford-Hiar’s behalf. The circuit court agreed with the state, and in August 2021, put a pause on Litzner’s suit against the …

Mackinac Center Announces 2023 Policy Priorities

Worker freedom, government transparency, rejecting corporate welfare are key issues

… training in prisons. Create meaningful school accountability. Reduce overcriminalization and recidivism rates. Maintain the sustainability of Michigan’s Medicaid program. Keep Line 5 open and support a tunnel to protect it. “Tonight, Gov. Whitmer will set out her administration’s priorities for the year,” …

Medicaid for All

Proposed federal rule would stymie state eligibility reviews

… Centers for Medicare and Medicaid Services within the U.S. … it claims will streamline Medicaid services. The rule’s practical … eligible for the program. Medicaid is a massive federal and … states’ ability to police Medicaid rolls. It is estimated that up to 20% of Medicaid spending nationwide may already …

Medicaid for all

Proposed federal rule would stymie state eligibility reviews

… Centers for Medicare and Medicaid Services within the U.S. … it claims will streamline Medicaid services. The rule’s practical … eligible for the program. Medicaid is a massive federal and … states’ ability to police Medicaid rolls. It is estimated that up to 20% of Medicaid spending nationwide may already …

Michigan’s revenue growth gets spun as reduced spending

Only in government can soaring rates of spending be described as budget cuts

… receives a lot of federal funding for means-tested support programs like Medicaid. Total federal revenue for the Department of Health and Human Service … increased $3.3 billion, a 19.5% increase when adjusting for inflation. State Medicaid rolls are up 69% over the period, in part due to the change in eligibility …

Federal drug program is very ineffective at helping the poor

Government should revamp 340B drug pricing program

… percentage of patients on Medicaid. The problem? The drugs … program don’t have to go to Medicaid beneficiaries. As the Richmond … in the number of people on Medicaid. The number of Medicaid enrollees has skyrocketed … people became eligible for Medicaid, more hospitals and health …

Federal drug pricing program drives up drug prices

A bill in Michigan may make transparency harder in the 340B program

… 11.75% of its patients are in Medicaid. In the past decade, many … limits of those eligible for Medicaid, exploding the total number … improved, lawmakers expanded Medicaid, adding more than 800,000 … government health care rolls. Medicaid is now 27% of the Michigan … people became eligible for Medicaid, more hospitals and clinics …

COVID Ratcheted up Federal Transfers to the State Budget

Federal transfers to Michigan jumped up to $33.0 billion

… Health and Human Services oversees the state’s Medicaid program. The federal government tied some of … to a requirement that the state keep people on Medicaid during the pandemic, even if their income went … limits. The state has 637,000 more people on Medicaid than it did when the pandemic began. Public …

We’ve Beaten Down the Union ‘Dues Skim’ in Michigan Again and Again

The Biden administration is trying to revive it for other states

… scheme. Bob and Pat receive monthly Medicaid checks to take care of their two … in 2019 ending the diversion of Medicaid payments to unions. The federal agency that oversees Medicaid said the rule was meant to ensure … suffer the most: Directing federal Medicaid money away from its intended purpose …

SEIU Healthcare Michigan is under trusteeship once again

Its second trusteeship in five years owes to ‘substantiated allegations of serious malpractice’

… the early 2000s, SEIU locals across the country, including its Michigan affiliate, took millions of dollars from people who were getting paid by Medicaid to care for their disabled family members in their own home. The union did this by enrolling these caregivers as members, usually without their consent, …

Bureaucratic Emergency Powers Should be Curtailed

House Oversight Committee

… mandates and rules that have the force of law. There are more than 30 such grants of power. They address a variety of issues, including plant diseases, Medicaid payments to medical providers, dry cleaning, mobile home licensing, adulterated food products, metal and coal mining, and much more. The design …

The New Republic Says Unions Are Making a Comeback

But the ancient magazine of political insiders gives no evidence, and Michigan numbers indicate the opposite

… Employees International Union went from 47,805 to 16,486, a 65.5% decrease. The union was sued after it illegally diverted more than $6 million in Medicaid funds to itself, taking money meant for disabled individuals who had hired others, often their family members, to help them at home. Critics called …

Where Do Your Tax Dollars Go?

Handy taxplainer shows where the revenues get collected and spent

… in income taxes, they spent 28 cents distributing it to K-12 schools. Another 27 cents went to social assistance programs, the majority of that to Medicaid. All told, here is how Lansing spends your income taxes: It gets more granular than that. Lawmakers don’t just fund departments. They break up …

Hospitals Collect More Fed Drug Purchase Subsidies, Intended Beneficiaries Don’t Get More Care

Studies’ evidence suggest federal program is mostly padding hospitals’ bottom lines

… applies to drug makers that want to serve the markets funded by Medicare and Medicaid. Under it, the companies must sell certain drugs at a discount to hospitals … who lacked insurance coverage. The study noted also that enlarging the Medicaid program under the Affordable Care Act increased public spending costs. …

Medicaid Payments Should Go to Caregivers, Not to Unions

U.S. Senate Special Committee on Aging

… opposes the expansion of Medicaid payments to labor organizations … discover the redirection of Medicaid payments to labor organizations, … deduction of union dues from the Medicaid payments of home-based caregivers … system in which payments of Medicaid funds can be directed to … compensated primarily through Medicaid payments. Despite this, the …

Mackinac Brings Health Care Reforms to the Legislature

… to the commission’s meetings and commit the Legislature to oversee it through annual reviews. Another state program that needs more oversight is Medicaid. During the pandemic, the state suspended its regular reviews of the program, which it had used to verify if people enrolled in it were eligible …

Telemedicine

… payer insurance market and in Medicaid. This flexibility increases … comes to telemedicine for Medicaid recipients, including those … Centers for Medicare and Medicaid Services, state policymakers … Health and Human Services gave Medicaid recipients increased freedom … lines and permanently allow Medicaid recipients to use telemedicine …

Scope of Practice

… by an overall shortage of primary care physicians, or an uneven displacement of them. Regardless of the reason, vulnerable populations — those on Medicaid, the poor and uninsured, Michiganders with disabilities, and those living in rural areas — have less access to primary care providers. Research shows …

Hospital Chain: ‘Patently False’ That Staffing Shortage Due To Its Vaccine Mandate

Henry Ford says just 1% of its workforce left; in January feds sent in Disaster Medical Assistant Team

… Nov. 4 the federal government would require COVID-19 vaccinations by Jan. 4 for all U.S. health care workers whose employers receive Medicare and Medicaid reimbursements. On Jan. 13, the U.S. Supreme Court let stand a federal vaccine mandate imposed on 17 million health care workers nationwide.

Four Hospitals That Take Federal Money To Help Low-Income Patients Do Less To Help Than Those That Don't

… participating hospitals are more profitable than non-participating hospitals. The 340B government program is designed to assist patients not eligible for Medicaid or Medicare but still are low income and help pay for prescription medications. Hospitals call this charity care which means they do not expect to …

Federal Enticements Drive the Constant Growth in Michigan's Medicaid Spending

Lawmakers should enforce their eligibility rules as soon as permitted by the federal government

… 1965, Congress created the Medicaid program to pay for medical … by the federal government, Medicaid is administered by the states, … number of people covered by Medicaid in Michigan and the program’s … program.) The number of Medicaid participants increased from … Lawmakers deliberately expanded Medicaid coverage to residents with …

“You Quickly Realize That This is an Injustice and it has to be Fixed.”

Jennifer Butler on federal rule making on a union dues skim operation

… dues from being skimmed from Medicaid. The federal government … used to pay for state-run Medicaid programs, and it can attach … many programs funded through Medicaid provides care to adults with … and other institutions. Medicaid provides stipends to the … Michigan receive a stipend from Medicaid to take care of their adult …

New Department of Health and Human Services Rule Would Reinstate Dues Skim

Health care providers should be given a choice

… reauthorize union’s ability to skim dues from Medicaid payments used to pay for home health care workers. … care workers. These workers, who often rely on Medicaid payments to provide care for their sick or disabled … shortage of home health care workers and direct Medicaid payments away from their intended purpose. Funds …

State Lawmakers Need to Get Better Outcomes With Newfound Federal Cash

It’s less obvious than it should be in the political process

… educational outcomes is a different story. They tend not to. The governor has recommended increasing pay for direct care workers. People are paid by Medicaid to take care of family members who need help, and companies also work to provide these services as well. Rates are set in law, and increasing wage …

The Problem With Michigan’s Numbers on COVID-19 Deaths at Nursing Homes

The state should try to produce a more precise figure

… homes: 1) Skilled Nursing Homes, 2) Adult Foster Care, and 3) Homes for the Aged. Skilled Nursing Homes are regulated by the Center for Medicare and Medicaid Services and are under federal jurisdiction. Adult Foster Care and Homes for the Aged facilities are regulated by the Michigan Department of Licensing …

Auditors Find State Overpaid Medicaid Home Health Vendors $39.4 Million

Could be worse: A previous audit found a $160 million loss

… Michigan has delivered millions of dollars in overpayments to vendors under a Medicaid program meant to help needy people with daily activities such as bathing, … the first time the Office of the Auditor General found issues with the Medicaid Home Help Program. In an audit covering October 2010 through August 2013, …

Will Congress’s State Spending Spree Continue When COVID is Over?

It did after the last recession

… reductions, they never fell anywhere close to the pre-recession levels. There were some other important policy changes. State lawmakers expanded Medicaid eligibility to collect further federal cash in 2015 and that increased the share of the state budget that comes from Washington. Federal transfers …

Expand Bottle Bill, COVID-19 Risk Metrics, National Guard Limits and More

This week's MichiganVotes Roll Call Report

… to committee, no further action at this time. House Bill 4208: Expand Medicaid alcoholism coverage Introduced by Rep. Abdullah Hammoud (D), to require Michigan’s Medicaid benefits program to cover fee-based medical services related to a primary …

Report: Controversial Drug Rationing Scheme Eyed By Trump, Biden Administrations

Expert panels decide whether extra years added by certain treatments worth the cost

… considered using review panels to decide whether America’s Medicare and Medicaid programs should pay for certain treatments. Under this system, the panels … year. Michigan does not use QALY for treatment decisions in the state’s Medicaid program, state officials told Michigan Capitol Confidential last year. …

Let’s Cut the Michigan Income Tax

… are a lot of decisions that get built into budgets. Increased demand for Medicaid during the pandemic cost more than $870 million — some of it supported … federal dollars — and perhaps a recovering economy will put less strain on Medicaid rolls. It simply comes down to whether lawmakers make reducing taxes …

A Call to Cut the Income Tax

Let taxpayers keep more of what they earn

… lot of decisions that get built into budgets. The increase in demand for Medicaid during the pandemic cost more than $870 million — federal support included — and perhaps a recovering economy will put less strain on Medicaid rolls. It simply comes down to whether lawmakers make reducing taxes …

Michigan Needs to Clean Up Medicaid Spending and Eligibility

Resources should be saved for the state’s most vulnerable people

… anticipate record levels of Medicaid enrollment next fiscal year … money to state coffers. While Medicaid has been a significant part … relief bills affecting the Medicaid program. One provision temporarily … federal government’s share of Medicaid costs by 6.2 percentage points. … that states can’t remove Medicaid recipients even if they are …

And the Winner Is … The Mackinac Center for Public Policy!

… we were recognized for our contribution to ending the infamous dues skim, a scheme that allowed for unions to forcibly “skim” money off the top of Medicaid care providers’ paychecks. This practice is now extinct, thanks in large part to the years-long work of the Center and our fellow SPN organizations. …

Less Road Funding from the Road-Fixing Governor

… they got in fiscal year 2018-19. The Department of Health Human Services gets $554 million more, partially because there are more people covered by Medicaid in the pandemic. Michigan took a year off from its taxpayer-paid tourism advertising program, and reinstating it is more of a priority in the eyes …

Less Road Funding from the Road-Fixing Governor

State spending up, but not for roads

… got in fiscal year 2018-19. The Department of Health and Human Services gets $554 million more, partially because there are more people covered by Medicaid in the pandemic. Michigan took a year off from its taxpayer-paid tourism advertising program, and reinstating it is more of a priority for lawmakers …

Key Votes by the 2019-2020 Michigan Legislature

October 30 MichiganVotes Roll Call Report

… changes customers could still choose unlimited PIP coverage, or choose policies with PIP limits of $250,000, $500,000, and for individuals covered by Medicaid, $50,000. Seniors on Medicare and individuals covered by other health insurance with less than a $6,000 deductible could choose not to purchase any …

State Budget Recovers From Pandemic

Weak case for additional federal coronavirus relief

… billion of that is fueled by federal revenue and $330 million comes in added state spending. In September, there were 228,000 more people receiving Medicaid, the biggest program of the department, than there were in February. One motivation for the federal relief efforts was to ensure people remained …