Corbett's alternative to Medicaid expansion under the microscope
After hundreds of consumers, doctors and interested parties sounded off online, the state and federal governments will begin “formal negotiations” on whether about 520,000 residents will get health care coverage under Gov. Tom Corbett's “Healthy Pennsylvania” proposal.
The plan is Corbett's suggested alternative, or waiver, to a Medicaid expansion under the Affordable Care Act. The governor seeks to create a private market option instead of an expansion for newly eligible low-income residents. The proposal also reforms current Medicaid benefits.
A federal public comment period on the proposal closed Friday. The online forum, operated by the Centers for Medicare and Medicaid Services, garnered 789 responses.
“Once CMS has completed their public comment period, they will advise of additional areas for discussion and formal negotiation on the waiver will begin,” said Kait Gillis, state Department of Public Welfare spokeswoman, in a statement to the Tribune-Review.
Federal modification or approval of the waiver application does not have a deadline, Gillis said. The state applied for a waiver in February.
Talks between the federal and state agencies have continued since Corbett announced the plan in September.
Corbett's 2014-15 budget proposal includes $125 million in savings predicated on federal approval of the waiver. The state's fiscal year begins on July 1.
CMS officials estimate it will take about two weeks to review the public feedback.
Largely remaining anonymous, some commenters called the plan “terrible” and “mean-spirited.” Self-identified chiropractors chimed in to protest proposed cuts for their services.
Others voiced support for the limits on benefits as “a good, sustainable solution.” According to the Corbett administration, Pennsylvania spends 27 percent of its budget on Medicaid, which costs state taxpayers and the federal government a combined $19 billion annually.
Antoinette Kraus, director of the Pennsylvania Health Access Network, said the largest concern about Healthy PA is proposed cuts to existing benefits.
“We are asking more than any other state in the country with waivers in the Healthy PA proposal,” she said.
Under the proposal, Medicaid recipients would not be covered for optometrist, podiatrist and chiropractor services. The waiver would reduce unlimited radiology services to six tests a year. Medical supply purchases would be capped at $1,000 or $2,500 a year, depending on the enrollee's overall health.
Jay Pagni, the governor's spokesman, said the goal of Healthy PA is to provide an affordable health care solution.
“We share that common goal” with the federal government, Pagni said. “And we will work through the differences in our approaches to get us to that common goal.”
Melissa Daniels is a Trib Total Media staff writer. Reach her at 412-380-8511.
Show commenting policy
TribLive commenting policy
You are solely responsible for your comments and by using TribLive.com you agree to our Terms of Service.
We moderate comments. Our goal is to provide substantive commentary for a general readership. By screening submissions, we provide a space where readers can share intelligent and informed commentary that enhances the quality of our news and information.
While most comments will be posted if they are on-topic and not abusive, moderating decisions are subjective. We will make them as carefully and consistently as we can. Because of the volume of reader comments, we cannot review individual moderation decisions with readers.
We value thoughtful comments representing a range of views that make their point quickly and politely. We make an effort to protect discussions from repeated comments either by the same reader or different readers.
We follow the same standards for taste as the daily newspaper. A few things we won't tolerate: personal attacks, obscenity, vulgarity, profanity (including expletives and letters followed by dashes), commercial promotion, impersonations, incoherence, proselytizing and SHOUTING. Don't include URLs to Web sites.
We do not edit comments. They are either approved or deleted. We reserve the right to edit a comment that is quoted or excerpted in an article. In this case, we may fix spelling and punctuation.
We welcome strong opinions and criticism of our work, but we don't want comments to become bogged down with discussions of our policies and we will moderate accordingly.
We appreciate it when readers and people quoted in articles or blog posts point out errors of fact or emphasis and will investigate all assertions. But these suggestions should be sent via e-mail. To avoid distracting other readers, we won't publish comments that suggest a correction. Instead, corrections will be made in a blog post or in an article.
- Steelers wrap lackluster preseason with loss to Panthers
- Steelers notebook: Safety Mitchell faces former team, hurts leg
- LaBar: Jake ‘The Snake’ Roberts reportedly hospitalized
- Young adults drive home rental trend in Western Pennsylvania
- New Ken-Arnold board asked to mediate between football groups
- Preseason valuable for Steelers’ offensive line
- DEP releases details of cases of drinking well contamination from drilling
- Government approves compromise on Corbett’s alternative Medicaid plan
- Man found in store parking lot not shooting victim, Pittsburgh police say
- Abercrombie name to shrink from clothing
- Statistically speaking: Can Pirates contain Hamilton on bases