OK

This is only a Preview!

You must Publish this diary to make this visible to the public,
or click 'Edit Diary' to make further changes first.

Posting a Diary Entry

Daily Kos welcomes blog articles from readers, known as diaries. The Intro section to a diary should be about three paragraphs long, and is required. The body section is optional, as is the poll, which can have 1 to 15 choices. Descriptive tags are also required to help others find your diary by subject; please don't use "cute" tags.

When you're ready, scroll down below the tags and click Save & Preview. You can edit your diary after it's published by clicking Edit Diary. Polls cannot be edited once they are published.

If this is your first time creating a Diary since the Ajax upgrade, before you enter any text below, please press Ctrl-F5 and then hold down the Shift Key and press your browser's Reload button to refresh its cache with the new script files.

ATTENTION: READ THE RULES.

  1. One diary daily maximum.
  2. Substantive diaries only. If you don't have at least three solid, original paragraphs, you should probably post a comment in an Open Thread.
  3. No repetitive diaries. Take a moment to ensure your topic hasn't been blogged (you can search for Stories and Diaries that already cover this topic), though fresh original analysis is always welcome.
  4. Use the "Body" textbox if your diary entry is longer than three paragraphs.
  5. Any images in your posts must be hosted by an approved image hosting service (one of: imageshack.us, photobucket.com, flickr.com, smugmug.com, allyoucanupload.com, picturetrail.com, mac.com, webshots.com, editgrid.com).
  6. Copying and pasting entire copyrighted works is prohibited. If you do quote something, keep it brief, always provide a link to the original source, and use the <blockquote> tags to clearly identify the quoted material. Violating this rule is grounds for immediate banning.
  7. Be civil. Do not "call out" other users by name in diary titles. Do not use profanity in diary titles. Don't write diaries whose main purpose is to deliberately inflame.
For the complete list of DailyKos diary guidelines, please click here.

Please begin with an informative title:

U.S. President Barack Obama delivers remarks alongside Human Services Secretary Kathleen Sebelius (R) and other Americans the White House says will benefit from the opening of health insurance marketplaces under the Affordable Care Act, in the Rose Garden
Medicaid expansion is the unsung hero of the Affordable Care Act, probably the most important component of the law for the actual delivery of health care, rather than the expansion of private insurance coverage. Because it's the Medicaid expansion that is reaching some of the most needy of those left out of the existing system. Medicaid is also the early success story of Obamacare, now that enrollments are being calculated. According to Avalere Health, a market analysis firm, 444,000 people thus far have been enrolled in Medicaid in just 10 of the 25 states that have expanded Medicaid under the law. Data isn't available yet for the other 15, so new Medicaid enrollments nationally are likely to be much, much higher.

The states that have decided to expand have been extremely proactive in getting people on board, including people who were already eligible for Medicaid but had slipped through the cracks. Funding from Obamacare has allowed states to increase their outreach and education efforts. For example, Colorado:

In Colorado, Medicaid applications in October were six to nine times what they were the month before, said Sue Birch, who heads the state's Department of Health Care Policy and Financing.

A years-long effort to reach eligible residents apparently succeeded in generating the increased demand. The state has installed self-service kiosks in community clinics, hospitals and libraries to sign people up. And a year ago, nurses statewide agreed to help by promoting Medicaid to low-income uninsured patients. [...]

Some states have used food stamp rolls to find people who might also be eligible for expanded Medicaid. Income verification forms used for food stamps require frequent recertification, so that means the program's beneficiaries are Medicaid-ready.

States can do this now because they can afford to increase Medicaid rolls; Obamacare provides the funding they need to cover their whole low-income populations. This is actually very good news for these states, and for the health care system as a whole. Because while Medicaid is a favorite target for Republicans to trash, it's an extremely efficient and effective program. Consider a recent study from the Journal of General Internal Medicine that found Medicaid is better at delivering access and affordable coverage than either private coverage or Medicare. From an efficiency standpoint, Medicaid is a winner.

Should the other 25 states decide to expand—and they can at any time—there could be efficient and effective health care for millions more, as many as 13 million by 2023, the CBO estimates.

Intro

You must enter an Intro for your Diary Entry between 300 and 1150 characters long (that's approximately 50-175 words without any html or formatting markup).

Extended (Optional)

Originally posted to Joan McCarter on Tue Nov 12, 2013 at 10:39 AM PST.

Also republished by Daily Kos.

EMAIL TO A FRIEND X
Your Email has been sent.