May 21, 2019

Pelican Institue for Public Policy: What You Need to Know About Medicaid Crowd Out 

In recent weeks, lawmakers have focused on the tens of thousands of ineligible individuals who improperly received benefits under Louisiana’s Medicaid expansion. But, fighting waste, fraud and abuse in Medicaid should also include reforms to address another important issue—crowd out. The term refers to Louisiana residents who have dropped their existing coverage to enroll in Medicaid expansion—in other words, government programs “crowding out” private insurance. Here’s what you need to know about crowd out and Medicaid expansion:

TENS OF THOUSANDS OF PEOPLE HAVE DROPPED PRIVATE COVERAGE TO ENROLL IN MEDICAID

Recently, the Pelican Institute filed a public records request to obtain internal Louisiana Department
of Health (LDH) data showing that for much of 2016 and 2017, several thousand individuals per month dropped their existing health coverage to enroll in Medicaid expansion. With enrollment in Medicaid expansion averaging approximately 15,000 individuals per month in 2017, the data indicates a significant percentage of enrollees dropped their prior coverage to joining Medicaid expansion...

View the Full position paper here

About the Louisiana Ambulance Alliance

The Louisiana Ambulance Alliance (LAA) is a diverse group of EMS providers who promote emergency medical transport as a distinct concern in Louisiana; serve as a forum for a unified voice for healthcare providers, public officials, healthcare workers, educators and consumers working to improve emergency medical transport in Louisiana; provide a forum for the exchange and distribution of ideas and information related to the improvement of emergency medical transport; serve as an advocate for emergency medical transport, promoting improved health status and improvements to the health system for residents of Louisiana; and encourage the development of appropriate health resources for Louisiana. 

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