Populist Reform of the Democratic Party
In reply to the discussion: Understanding the Corporate Welfare Giveaway known as the ACA... [View all]jwirr
(39,215 posts)administered by Blue Cross Blue Shield. Since the change there are more insurance companies involved. One of the differences is that we the client have to choose which insurance plan we want. Then they followed the state guidelines in the Medicaid program, now the Medicaid program buys the insurance from the insurance company. There is a big difference in who is in control.
I am not sure about this but I also think that back then the state was the one deciding what was covered and now the insurance companies do it. I would much prefer to work with the states. For example when you are working with the state they know you and your needs better than they seem to do today. And of course the bottom line today is money, while then it was providing the type of care needed for the individual client.