Retroactive claims and administrative burden

In Fuck The Poor, Mayhew On Insurance by David Anderson

Last week, Kentucky announced that the state Medicaid program would start paying for dental and vision benefits again after those benefits were cut in a snit-fit when a federal judge noted that the point of Medicaid is to pay for medical expenses.  Normal benefits will resume on August 1.  Claims will be paid for services rendered in July. My days as an insurance company plumber forced me to cringe.  Paying retroactive claims after a blanket denial is a good way to light administrative money on fire.  A well run claim …

Kids are expensive

In Because of wow., Foam Finger Nation, Free Markets Solve Everything, Fuck The Middle-Class, Fuck The Poor by David Anderson

This is not a health policy post, just an observation from my life. The New York Times reported that fertility rates are declining in America. Americans are having fewer babies. At first, researchers thought the declining fertility rate was because of the recession, but it kept falling even as the economy recovered. Now it has reached a record low for the second consecutive year. Because the fertility rate subtly shapes many major issues of the day — including immigration, education, housing, the labor supply, the social safety net and support …

What’s going on in Texas

In All we want is life beyond the thunderdome, Election 2018, Election 2020, Fuck The Middle-Class, Fuck The Poor, Mayhew On Insurance by David Anderson

I am not a lawyer, so please don’t take any of the following as informed legal analysis. The Trump Administration has decided to argue that the $0 penalty individual mandate is unconstitutional and therefore community rated guaranteed issue requirements are unconstitutional as they are non-severable from the mandate. That would destroy the individual market reforms of the ACA. Take Care has the legal argument and demolition: In the government’s brief, the Trump DOJ makes two arguments. (A) The individual mandate, which the Supreme Court upheld in NFIB v. Sebelius, is …

Now On to the Next Phase of the Looting

In Assholes, Fuck The Middle-Class, Fuck The Poor by John Cole

Pete Peterson might be dead, but the GOP quest to gut Medicare and Social Security marches on: The financial future of the part of Medicare that pays older Americans’ hospital bills has deteriorated significantly, according to an annual government report that forecasts that the trust fund will be depleted by 2026 — three years sooner than expected a year ago. The report, issued Tuesday by a quartet of Trump administration officials who are trustees for Medicare and Social Security, reveals that policy changes ushered in by the president and the …

No, Virginia, Tax Giveaways To The 1 % Don’t Work

In Blatant Liars and the Lies They Tell, Ever Get The Feeling You've Been Cheated?, Free Markets Solve Everything, Fuck The Middle-Class, Fuck The Poor, Republican Venality, Show Us on the Doll Where the Invisible Hand Touched You by Tom Levenson

Just a check in on the astonishing economy building super duper special magical powers of GOP TAX CUT POTIONâ„¢. Spoiler: it works just as well as the utter, don’t-let-the-pointy-heads-at-the-FDA-f**k-up-a-good-thing  quackery Orrin Hatch has spent so long protecting. The latest by Dean Baker: The ostensible rationale for the big cut in the corporate tax rate that was at the center of the tax cut is that it will lead to a flood of new investment. Since the outlines of the tax cut had been known since September, businesses had plenty of …

We Can Always Use Some Bitter, Cynical, Gallows Humor, So Here’s A Kudlow Post

In C.R.E.A.M., Ever Get The Feeling You've Been Cheated?, Fables Of The Reconstruction, Free Markets Solve Everything, Fuck The Middle-Class, Fuck The Poor, Glibertarianism, Show Us on the Doll Where the Invisible Hand Touched You, Tax Policy, The Money Party, The Party of Fiscal Responsibility by Tom Levenson

Larry Kudlow is the pure distilled essence of a Trump appointment, the type specimen of the breed, and the perfect expression of the state of Republican “thinking” on not just economics, but any matter in which actual knowledge and a respect for empiricism might help. Via Wikipedia, we find he is barely educated, at best, in the fields in which he now works: Kudlow graduated from University of Rochester in Rochester, New York with a degree in history in 1969. Known as “Kuddles” to friends, he was a star on the tennis team and a …

Late Night Horrorshow Open Thread: Maybe They’ll Call It ‘Brown Apron’

In C.R.E.A.M., Dolt 45, Domestic Affairs, Ever Get The Feeling You've Been Cheated?, Fuck The Poor, Open Thread, Republican Stupidity, Republican Venality, Seriously by Anne Laurie

SNAP recipients would get shelf-stable milk, cereals, pasta, peanut butter, beans and canned — but no fresh — fruit and vegetables. https://t.co/MMLPjncH1M — NPR (@NPR) February 13, 2018 Mick Mulvaney’s brill idea seems to have evaporated overnight, but Repubs never give up on a proposal that looks like a chance to screw The Undeserving while allowing a little free-market looting… er, “privatization”… of the common treasury. So I figure we’ll soon be seeing sketches of the proposed Versace-designed uniforms for the troops of the ‘SNAP czar’ in charge of seeing …

Fiscal Conservatism Is Actually Robbing the Poor to Shower the Rich With Cash

In Fuck The Middle-Class, Fuck The Poor, Republican Venality by John Cole

*Paul Ryan pulls a quarter out from behind my ear*ME: “Is that supposed to be a magic trick?”RYAN: “That’s the magic of your tax cut!”ME: “That’s fucking it?”RYAN: “Now, watch me make Medicaid disappear!” — Sam Grittner (@SamGrittner) February 3, 2018 Amazing: It was another crazy news week, so it’s understandable if you missed a small but important announcement from the Treasury Department: The federal government is on track to borrow nearly $1 trillion this fiscal year — Trump’s first full year in charge of the budget. That’s almost double …

CHIPping away at the deficit

In Fuck The Poor, Get off my grass you damned kids, Mayhew On Insurance by David Anderson

Let’s imagine that there is a situation where a popular program can be extended. Let’s imagine that popular program uses public-private partnerships. Lets imagine that popular program’s extension needs no hard to agree upon pay-fors. Let’s imagine that popular program’s extension is actually deficit reducing. One would think that the vote to extend a deficit reducing popular program would be 422-7 in the House and 95-2 in the Senate. That would be a nice strand of the multiverse to live in. It is not our strand of the multiverse. NEWS: …

The Party of Immiseration

In C.R.E.A.M., Ever Get The Feeling You've Been Cheated?, Free Markets Solve Everything, Fuck The Middle-Class, Fuck The Poor, Laissez les bons temps rouler, Republican Crime Syndicate - aka the Bush Admin., Republican Venality, Women's Rights Are Human Rights by Tom Levenson

The Republican Party is phenomenon that Tony Soprano would have recognized instantly:  a bust-out operation, by individuals (looking at you, Bob Corker), and collectively, as the tool by which the hyper-wealthy secure yet more at the expense of everyone else, including the merely rich. I think this crowd of jackals understands, but it hasn’t yet fully penetrated even that part of the media that does, more or less, get what’s going on, that the tax heist is merely the most obvious of scams.  Everything the GOP does, every policy choice …

Remember The Maine (Senator)!

In Fuck The Middle-Class, Fuck The Poor, Fucking fight, Keep Banging, Our Failed Political Establishment, Politics, Tax Policy by Tom Levenson

Following up on Betty’s post below… Pursuing the Maine chance, Susan Collins is all over a small part of the map on the Senate tax-theft/heath-care-wrecking/federal-overreach/America-gutting  bill. She voted in favor of the motion to proceed, but she’s now signaling that she isn’t yet a solid “yes” on final passage: Republican U.S. Senator Susan Collins said on Thursday she was not committed to voting for the Senate tax bill, citing concerns over healthcare and a deduction for state and local taxes. Collins told reporters at a Christian Science Monitor breakfast it …