WORSE! GOP CUT TOOL: Overload admin => millions "churned out" (GOP calls them "lazy") This cruel Medicaid cutting gimmick will impoverish the rural middle class But it won't stop there. If unchecked - and the GOP won't check it - it will destroy our entire healthcare system Read nxt to see how
Safety net admin is labor-intensive, expensive. Tenncare admin costs 900M annually, yet some eligibles still face long delays (churn) 2x verification freq => 2x admin costs - OR - thousands "churned out". GOP says churn = lazy Intentional admin overload. Really bites rural. Also bites emp-based
2x verify freq => admin overload Provider tax cuts => fewer admin $$$ Result: Huge churn pool that impacts all providers, insurers Churn pool always in flux => Costs, Risk always in flux => unmanageable FOR EVERYONE Insurers flee rural => Employers flee rural => Rural middle class collapses
Huge churn pool syncs to tax season => participants w/ coverage jan-jun only Provider income now "seasonal". Layoffs 2nd half of year. Need ample "cash on hand" to survive "boom-bust" cycles Insurers in constant rate renegotiation. Many fail. Many flee. And boom-bust = "bust only" in rural
GOP saw SNAP, Medicaid work req fail BECAUSE OF ADMIN OVERLOAD Realized ADMIN OVERLOAD => cuts. Double verify => 1000s cut Not imp what is verified - could be shoe size 2x per year But "work" => 1000s cut can be called "lazy" INTENTIONAL - GOP LOVES IT! Unintentional: Destroying entire system