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@calsnoboarder @MikeDunnAuthor

"... their decisions (not really theirs, since they have actuaries and other experts who tell them what to implement in terms of policy)"

This is actually NOT correct. If the actuaries are doing their jobs properly, then the probability and risk of paying for a particular treatment is built into the premium. So that means the majority of claims should be approved for payment. modulo fraudulent claims.

Trump's entire #Project2025 Policy Agenda is huge
--over 900 pages as I understand it
--but given the nature of this website, I'm going to restrict myself to discussing the #healthcare policy section, which is thankfully "only" 54 pages long.

Since there's so much to wade through here, I'll be breaking this into several individual posts.

First up, according to Edwin Park, Research Professor at the Georgetown University McCourt School of Public Policy’s Center for Children and Families,
here's how Project 2025 would impact #MEDICAID:
• It would convert federal Medicaid funding into #BLOCK #GRANTS (a set amount of money which would remain the same regardless of increased healthcare cost growth, enrollment growth, unexpected additional costs from recessions, disasters, another global pandemic, etc.
• It would require #states to pay a much larger share of Medicaid costs
• It would eliminate states ability to use provider #taxes, which states use to pay part of their share
• This in turn would prevent states from being able to access even the already-reduced #federal #revenue
• It would eliminate many Medicaid protections & requirements, including adding coverage time #limits and lifetime benefit #caps
• It would allow states to increase #premiums & cost sharing for enrollees and add them to #children and pregnant women
• It would allow states to drop coverage of #nursing home care and long-term services
• States would no longer have to coverage non-elderly non-#disabled parents
• It would add more red tape & make it more #difficult for people to apply for, enroll in and renew their coverage
• It would let states add work reporting #requirements, which have proven to be a disaster in the handful of states that it's been allowed for to date
• It would push for Medicaid #vouchers for less affordable & far less comprehensive private coverage
• It would remove most federal #oversight of state Medicaid programs...except for #abortion & reproductive healthcare, where it would crack down with #draconian federal requirements including prohibiting Planned Parenthood from receiving federal funding, prohibiting coverage of travel to get an abortion and eliminating Medicaid funding for states which require abortion coverage in private policies*

*Note: As of 2022, that included California, Illinois, Maine, Maryland, New York, Oregon and Washington.

Overall, Park estimates that
🔸 Project 2025 would slash federal Medicaid funding by more than 50% over the next decade.🔸

acasignups.net/24/07/05/lets-t

ACA Signups · Let's take a look at Donald Trump's #Project2025 Medicaid Agenda, shall we?Before I get started, I want to be clear about two things. First, what exactly is "Project 2025?" Via Wikipedia: Project 2025, also known as the Presidential Transition Project, is a collection of conservative and right-wing policy proposals from the Heritage Foundation to reshape the United States federal government and consolidate executive power should the Republican Party candidate win the 2024 presidential election. It proposes reclassifying tens of thousands of merit-based federal civil service workers as political appointees in order to replace them with those who will be more willing to enact the wishes of the next Republican president. It asserts that the president has absolute power over the executive branch. Critics of Project 2025 have characterized it as an authoritarian, Christian nationalist plan to transform the United States into an autocracy. Many legal experts have asserted it would undermine the rule of law, the separation of powers, the separation of church and state, and civil liberties.

insurers have been increasing top-tier at far higher rates than those approved by government—30% on average over the last three years, versus the 8.6% regulatory cap—yet, ’s boss states:

“[F]or every dollar that people pay in premiums, on average, 86 cents goes back to them.”

abc.net.au/news/2024-02-15/hea

ABC News · Health insurers accused of charging more for top-level hospital cover than price cap set by federal governmentBy Kate Ainsworth

Climate change has already made living in #Taos more difficult, and more expensive. Air conditioning is now needed to stay comfortable in the summer, and home #insurance #premiums are skyrocketing, given the likelihood of having to rebuild a burned home.
#NMFire

nytimes.com/2022/12/10/busines

www.nytimes.comIn New Mexico, Trying to Capitalize on Natural Beauty as Climate Change Disrupts ItBy Lydia DePillis