How a tiny associated with patients poses a huge challenge for Medi Somewhere in florida, One child's medical expenditures in 2014 totaled $21 million a bill covered entirely by Medi Cal, The state's version of state medicaid programs. The youngsters condition is not known. But the cost of care was mentioned in recent facebook posts by Jennifer Kent, Head of the state Department of health related Services, Which usually runs Medi Cal. Kent declined to provide can be. But she said that massive, Medi Cal has had at least one patient whose annual medical expenses reach between $15 million and $21 million. The massive bills converse with the breadth of services Medi Cal provides, Amazing staggering costs of some of those services. They also underscore the contests policymakers are facing with possible cuts in the federal government's contribution to Medicaid proposed in the House and Senate Obamacare repeal bills For patients such as these, There often isn't anywhere to keep costs down, Specialists say. "They are highly expensive people with really expensive needs, Kent said in a job interview. "Your disease defines the therapy you require, And the values are joined to that diagnosis. That's just the character of the beast, Nearly $2 million a month in health-related costs?Medi iz, Which is jointly funded by workers, but and state governments, Provides coverage of health to 13.5 million Californians, Or a third of state home buyers. State data show that the highest priced 1% of patients in Medi Cal account for 23% of the program's spending. Ten percent of affected individuals create 63% of total costs. Some of those people may be addicted to drugs or have a mental health that contributes to their high healthcare expenses. They may overuse the emergency room because they don't know how to navigate the healthcare system or find a medical doctor. Kent said the system does"Gratifying" Work hoping to help the so called high utilizers. The plan might direct them to recovery programs or connect them with behavioral health treatment. But those sorts of fixes can't reduce healthcare costs for anybody, She reported. Medi Cal patients incurring absolutely the highest costs tend to have severe genetic disorders such as cystic fibrosis, Hemophilia, Duchenne has a muscle physique dystrophy and sickle cell disease, Kent suggested. Women with hemophilia, A disease that blood doesn't clot, Can require costly infusions of blood clotting factors many times a day. A drug was recently approved for Duchenne muscular dystrophy which costs $89,000 virtually any yeany kind of a majorr. "If someone requires $5 million worth of blood factor due to their hemophilia, That time. I not able to 'manage' that cost. There's nothing that you can try, Because that's medically needed, Kent understood. Such year, An insurer in Iowa disclosed that a child there with hemophilia had medical costs totaling $12 million. Katie action-word khalil mack jersey, Director of policy and navy relations for the Hemophilia Federation of America, Said that ringing in the ears patients with severe hemophilia could reach $1 million annually but that $12 million let alone $21 million is unheard of. Margaret Dwight, Senior v. p. of policy for the Cystic Fibrosis Foundation, Said she was unaware of any cystic fibrosis patients whose yearly bills were in the tens of millions. Katherine Hempstead, A health policy expert with the Robert Wood Johnson time frame, Said some sick men and women could require teams of doctors, Around the clock care or trial and error drugs that could drive up costs further. "I'm sure it's just some unfortunate person that has a lot of medical needs and is very expensive to deal with marquette king jersey, She supposed. She said pastimes insurance through their jobs and become sick may have to stop working and spend their savings on medical care, And they can end up relying on safety net programs that support low income Americans. "Medicaid probably has more than their fair share of things like that, She shown. The Senate Obamacare repeal billThat's why state officials say they're serious about the Senate healthcare bill. GOP legislators unveiled a proposal last month that would colossally scale back Medicaid, Making funding 35% reduced two decades than under current law, According to persistent analysis by the Congressional Budget Office. A revised version of the bill released wed includes the same changes to Medicaid. California officials estimate that the bill could leave Medi Cal with $115 billion less through 2027 than it would receive otherwise. Geoffrey Joyce, Home of health policy at the USC Schaeffer Center for Health Policy and Economics, Said the Medicaid cuts will mean pushing people out of the program or limiting their benefits. Provider rates materialize to be low, And states are already barely balancing the household budget with the funding they currently have, He explained. "What do they need to do? Need to be slash and burn, He was quoted saying. The Senate bill would modify the way Medicaid is funded, Switching it from the current model in which the us government reimburses states for its expenses, However large they are, To a fixed income for each state. E Haislmaier, Healthcare policy expert at the conventional Heritage Foundation, Said the change would give states an incentive to run their programs better and cut down on fraud and abuse that can be driving up costs. The bill would also give states flexibility just for them to charge enrollees co pays, Which could discourage wasteful medical care such as frequent er visits, He explained.