• • •
LEO Weekly: Medicaid Expansion Leads To Booming Reimbursements, Plunging Uninsured Rate In Kentucky
Kentucky’s Department of Medicaid Services has also provided this map that shows how the uninsured rate has plummeted within each county since 2012, assuming that 75 percent of Kynect enrollees did not previously have insurance (as indicated in their Kynect application): While this drop is staggering through the state, it is most pronounced in the four eastern Kentucky counties of Harlan, Letcher, Leslie and Perry, who went from 17-20 percent uninsured to less than 5 percent. These four counties went from some of the highest uninsured rates to the lowest in the entire state. Thanks, Obama.
While rural hospitals in Kentucky still face unique challenges that must be addressed, including how well Medicaid managed care is able to meet the increased demand for providers, the rosy estimates given by Gov. Beshear last year on the effects of embracing the Affordable Care Act appear to be coming to fruition. The question still remains whether Kentucky’s legislature will decide to continue these efforts next year, or whether a possible new Republican majority in the state House will decide to roll back the clock.
• • •
• • •
Mary Meehan: Affordable Care Act Refunds Due From Four Kentucky Insurers
Kentucky families will receive $6.2 million in refunds, an average of $43 per family, under a provision of the Affordable Care Act known as the 80/20 rule. The refunds announced Thursday by the federal government are the result of the rule requiring insurance companies to spend at least 80 percent of the money paid in premiums on patient care. If the companies don’t reach that amount with spending on bonuses or red tape, it must be refunded to their customers.
According to a news release from the federal Department of Health & Human Services, consumers nationwide will receive $330 million. Four Kentucky health insurance plans will refund money. Anthem Health Plans of Kentucky had by far the largest refund at $4.4 million. Humana Health Plan was at $766,295, Golden Rule Insurance Co., $342,336, and Time Insurance Co., $333,096.