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From linked article:what age groups purchase what?
https://www.nytimes.com/2024/10/10/business/social-security-benefits-increase-2025.html
Yup, and the invention of "user fees" where there were none.@bee +1 Let me add , it seems to me that the list of taxes continues grow !!
One can't drill down without a Canadian address - signing up requires one to enter a province name.wonder how much Prolia costs here (did not drill down):
https://www.pocketpills.com/drug/prolia
I am learning (first year of Medicare) that there are payment phases with Part D.Zero or low costs for all our meds too (Optum, Costco, CVS)
The good news is that starting in 2025, drug costs will be capped at $2,000, so exposure isn't unlimited.
It's a very interesting topic and can appear convoluted. Couldn't an argument be made that we (the public) transfer more of our money to the government than we did years ago?@bee I'm not sure I like the wording, "government transfers." I take it as a gift from the gov., which most of it isn't. VA Benny's all earned as is my SS monthly check.
Bottom line, we pay more today in public transfers to local, county, state, and federal governments so they can orchestrate these transfers out.
How does Medicaid financing work?
Medicaid financing is shared by states and the federal government with a guarantee to states for federal matching payments with no pre-set limit. The percentage of costs paid by the federal government varies for specific services and types of enrollees and depending on whether the costs are for medical care or program administration.
The federal share of spending for services used by people eligible through traditional Medicaid, which includes individuals who are eligible as children, low-income parents, because of disability, or because of age (65+), is determined by a formula set in statute. The formula is designed so that the federal government pays a larger share of program costs in states with lower average per capita income. The resulting “federal medical assistance percentage” or “FMAP” varies by state and ranged from 50 percent to 78 percent for FFY 2023 (Figure 5).
States can use provider taxes and IGTs (intergovernmental transfers) to help finance the state share of Medicaid. States have some flexibility to use funding from local governments or revenue collected from provider taxes and fees to help finance the state share of Medicaid within certain limits and rules. Provider taxes are an integral source of Medicaid financing, comprising approximately 17% of the nonfederal share of total Medicaid payments in SFY 2018 according to the Government Accountability Office (GAO). All states (except Alaska) have at least one provider tax in place and many states have more than three (Figure 8). The most common provider taxes are on nursing facilities (46 states) and hospitals (44 states). As of July 1, 2022, 32 states including DC also reported at least one provider tax that is above 5.5% of net patient revenues, which is close to the maximum federal safe harbor or allowable threshold of 6%. Federal action to lower that threshold or eliminate provider taxes, as has been proposed in the past, would therefore have financial implications for many states.
The most common Medicaid provider taxes in place in FY 2022 were taxes on nursing facilities (46 states), followed by taxes on hospitals (44 states), intermediate care facilities for individuals with intellectual disabilities (33 states), and MCOs7 (18 states).
https://kff.org/report-section/medicaid-budget-survey-for-state-fiscal-years-2022-and-2023-provider-rates-and-taxes/
I am so confused to read complaints like this from someone in Massachusetts and others about costs and screwups. Depending on Mass. county, Tufts and BCBS alike (nonprofits, or so they say) offer MA policies that are zero-premium, include (at least Tufts) serious, meaning $1500, dental prepaid card, modest eyeglasses and less-modest ($240) OTC benefits, and on and on. No referrals, huge network (or so it seems for our many docs).@msf Appreciate the detailed explanation. All of the gory details and granular ins-and-outs and contingencies and add-ons and options, etc. only show what a broken non-system we have. Thanks for the corrections, too. Yes, Single-Payer, gummint-operated stuff will be, no doubt, a cluster-flop, too. ... Dental is not included, though. And I still do better getting some of my 'scripts via Canada.
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