Albuquerque Journal

Cuts to Medicaid providers hurt whole system

Private insurance won’t save everyone from broad negative effects of Medicaid cuts

- BY COLIN BAILLIO DIRECTOR OF POLICY AND COMMUNICAT­ION, HEALTH ACTION NEW MEXICO Health Action NM is a nonprofit consumer advocacy organizati­on that works to ensure that all New Mexico communitie­s have access to quality, affordable medical and dental care.

There has been a vigorous debate about Medicaid in the pages of the Journal. But something crucial is missing from the discussion: Medicaid is a vital program that benefits health care providers that serve all of us.

That means the current cuts will negatively impact the quality of care for all New Mexicans.

In 2015, the Center for Disease Control found that over 93 percent of office-based physicians in New Mexico accept new Medicaid patients. In addition, Medicaid provides hospitals and clinics with critical funds that allow them to better staff their facilities.

So when cuts are made to the program, even if you have private insurance, many health care providers will be less likely to see you and your family in a timely manner because they are stretched so thin. Wait times will skyrocket for everyone. The ripple effects will be felt across the system.

Consider the thousands of health care providers who could soon be out of a job because they cannot find enough patients to make ends meet. Many well-trained, highly skilled workers will be faced with the prospect of enrolling in Medicaid themselves or simply leaving the state, exacerbati­ng the dire workforce issues that New Mexico already faces.

And, of course, benefits cuts are essentiall­y provider cuts because many doctors will still provide those services but without getting paid for them. The alternativ­e is worse patient outcomes, cutting against the very purpose of our investment in the program.

For every dollar the state cuts from Medicaid, four dollars in federal funding leave the state. That means nearly $300 million will be drained from our state’s already fragile economy, making life more difficult for those already struggling, including our neighbors, families and small businesses.

While we may disagree about our approach to this issue, we must recognize that Medicaid is an integral part of our economy and health care system and the decision to slash its funding will be a burden to us all.

So we cannot simply call on the Human Services Department to make the cuts “evenhanded­ly” or reduce patient benefits in an effort to make coverage for the poorest among us less effective. It is up to lawmakers to consider new options to ensure that our health care system works for us as New Mexicans.

This is not about politics, it’s about people.

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