Cliff Barnes, a Member of the Firm in the Health Care and Life Sciences practice, in the Washington, DC, was quoted in an article titled “Cost Drive Medicaid’s Reality.”
Following is an excerpt:
As the provisions of the Patient Protection and Affordable Care Act (PPACA) edge closer to reality, the Medicaid program faces unprecedented change, with day-to-day challenges as well as longer term issues such as access, outcome and payment mechanisms. …
Managed care organizations and providers have developed robust forecasting and care model’s for Medicaid’s current population — generally moms, kids and the elderly — but the infusion of childless adults into the program will force a recalculation, says Barnes.
“There is a lot of reticence among states to expand because of cost,” said Barnes.
For example, he says, AIDS and other diseases cost a great deal of money to treat, and such patients frequently end up on Medicaid.