Tom Corbett says he’s nearing his “breaking point” over the Obama administration’s unwillingness to OK some of the meaner and more derptastic elements of the CorbettCare plan:
Corbett said Wednesday he’s getting to his breaking point with the Obama administration.
At issue is a Monday conference call between the Corbett administration and the Centers for Medicare and Medicaid Services. Corbett aides say they received discouraging signals about elements of the plan.
The Corbett administration is seeking more expansive changes than any other state to the Medicaid expansion under the 2010 federal health care law. That includes waiving Medicaid’s consumer protection rules on benefits and networks for the private insurance plans that would be funded by expansion dollars.
The thing that Corbett has always wanted to do here is propose a plan that would rally big for-profit hospitals and rich doctors to his side, but that would ultimately be rejected by the Obama administration because Republicans loaded it down with poison pills. Then he could run against the Obama administration while having a plausible-sounding excuse for not having accepted the Medicaid expansion money. (“I proposed a plan, but Obummer just wouldn’t work with us.”)
Kathleen Sebelius definitely should reject the CorbettCare plan because we’re probably going to have a Democratic Governor in 2015 who will simply do the real public Medicaid expansion and immediately insure thousands of people like other Governors are having the decency to do:
States that implemented the ACA’s Medicaid expansion saw a larger decline: their uninsurance rates for adults dropped 4.0 percentage points since September, compared with a drop of 1.5 percentage points for the nonexpanding states. The average uninsurance rate for adults in the 24 nonexpanding states was 18.1 percent in March 2014, well above the 12.4 percent average in the expansion states.