Kentuckys New Idea for Medicaid Access: Pass Health Literacy Course

[riversedge]

Source: nytimes.



A lot of people could do with a little more health and financial literacy, not just Medicaid recipients. But linking it to retaining medical eligibility may not make sense.

By Austin Frakt
Jan. 22, 2018

If you’re on Medicaid in Kentucky and are kicked off the rolls for failing to meet the state’s new work requirements, Kentucky will be offering a novel way to reactivate your medical coverage: a health or financial literacy course you must pass.

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Kentucky says the courses, along with the bigger elements of the recently approved waiver it received from federal Medicaid rules, will help to “empower individuals to improve their health.”

The courses are just one way people subject to and failing to meet work requirements could regain coverage. But some health policy experts express dismay with the approach. For one thing, many Americans, not just those who seek Medicaid, struggle with health and financial literacy. And to some, literacy quizzes — however well intentioned — evoke the tests used to impede voting registration of black Americans in the Jim Crow South. ...............................

Read more: https://www.nytimes.com/2018/01/22/upshot/kentucky-medicaid-work-requirement.html?ribbon-ad-idx=8&rref=politics&module=Ribbon&version=context&region=Header&action=click&contentCollection=Politics&pgtype=article

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well, lets give that weight management questions to dumpy Trump!

"The precise content of the courses is not yet worked out but may include instruction on household budgeting, opening a checking account, weight management and chronic disease management, said Kristi Putnam, a manager with Kentucky Health, the new state Medicaid program that includes work requirements. She said quizzes would be included that people must pass to complete the course."


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Matt Bevin, the governor of Kentucky, with President Trump last week in Washington. Kentucky is the first state to win approval from the Trump administration to impose a work requirement on many Medicaid recipients.CreditCarolyn Kaster/Associated Press

[Bayard]

1. In other words....

We will continue to humiliate you until you give up and go away. Or die.

[bucolic_frolic]

2. Some insurers

have a nurse hotline, or a website, to help with emergency questions.

seems to me all this effort to reduce costs begins with efficiently separating urgent care from emergency care. Outpatient urgent care centers are far cheaper. Of course the ER is only too happy to deal with all urgent care because it's so profitable.

[Johnny2X2X]

3. They are sick

The Reps think anyone getting help is a liar and a cheat. They cannot get it through their heads that most people who are getting help really really need it and even then they barely scrape by.

[Wellstone ruled]

4. Coming to a Red State near you.

Compassionate Conservativism, oh just go die somewhere.

[Honeycombe8]

5. Oh, dear. There are some people who don't have the mental capacity to take a course & pass it.

I don't mean that to be disparaging, but there really are some people who aren't disabled, but who are mentally challenged. They also may not have a way to travel somewhere to take a course. Or pay for the gas to get there.

I say we force Trump and all the other old fat billionaires to take a course and pass a test.

Besides, because you pass a test doesn't mean you'll do what is recommended. We all know to eat veggies more than other food groups, right? But I don't do that. I don't like veggies.

[GReedDiamond]

9. "...there really are some people who aren't disabled,..

...but who are mentally challenged."

Yes, such as the average Trump supporter.

How will they react if they can't pass the test? Most likely, "thanks Obama."

[Honeycombe8]

10. LOL. I should have phrased that better! LOL. nt

[GReedDiamond]

12. I thought you phrased it just fine...

...but I figured it could use a little focus.

[Hortensis]

19. Most of those will be defined already. New ones, well

worse things can happen than a new law that ends up in more mentally disabled people being identified to their state government. Sure, that's just a first step, many will need legal aid assistance to establish disability officially, and only some will get it.

But just as everything has a cost, that includes conservative insistence that people be educated on nutrition before they feed them. Poor conservatives--everything backfires on them, an eternal frustration that even mean programs and conservative judges seem to end up more liberal than intended.

Btw, that some people get some education out of all this isn't a bad thing either. Sorta downright progressive.

[Vinca]

6. Kentuckians loved their KYNECT, but they had to vote for Bevin because they hate Obamacare.

[not fooled]

7. Suicide

by ignorant voting.

There is no clearer example.

And yes, I feel bad for the people of Kentucky who will suffer, especially those who voted Democratic.

[Irish_Dem]

8. Congressional members need to pass an ethics/morality/honesty course. nt

[Ohiogal]

11. When will they make them

Do the Hokey Pokey, pass an obstacle course, go to a nutrition class at 12 noon every day, whistle the Star Spangled Banner while doing a backwards somersault.....

Humiliate them and make them jump through 1000 hoops! Don't make it easy for these lazy 3 year olds and their frail great granmas to rob the state for their medical care, when we can teach em all a lesson!

Republicans are despicable. EVIL, I tell you!

[bluestarone]

13. maybe just maybe this will

get Kentucky people to the polls

[maxsolomon]

20. LOL

good one!

[Marie Marie]

14. Our overweight, out of shape, knows nothing about anything President

should be the first to have to take and PASS this test. Then we'll talk...

[area51]

15. Damn it.

Fucking disgusting.

Expanded Medicare for All!

[Puzzledtraveller]

16. I just trained in this last week

I could tell you everything but you won't believe me. Seriously, this is what I do, and it's not as bad as it sounds.

[End Of The Road]

18. Please tell me everything.

Really. I'll take all the first-hand knowledge I can get.

[BillyBobBrilliant]

17. And, of Course

There will be a hefty fee involved. Probably only available during normal business hours. And other unspeakable hardships to punish the less fortunate.