{"id":279573,"date":"2025-06-07T15:24:03","date_gmt":"2025-06-07T15:24:03","guid":{"rendered":"https:\/\/peraltafinancing.com\/uncategorized\/undervalued-and-underfunded-primary-cares-plea-for-medicaid\/"},"modified":"2025-06-07T15:24:03","modified_gmt":"2025-06-07T15:24:03","slug":"undervalued-and-underfunded-primary-cares-plea-for-medicaid","status":"publish","type":"post","link":"https:\/\/fivemor.com\/?p=279573","title":{"rendered":"Undervalued and Underfunded: Primary Care\u2019s Plea for Medicaid"},"content":{"rendered":"<p> <br \/>\n<\/p>\n<div>\n<p><span style=\"font-weight: 400;\">There has been a constant battle for Medicaid in America \u2013 from states slashing Medicaid reimbursements or refusing to expand access, to Congress now threatening to cut and restrict Medicaid funding altogether. The program, which funds <\/span><a href=\"https:\/\/www.kff.org\/report-section\/medicaid-enrollment-and-unwinding-tracker-enrollment-data\/\"><span style=\"font-weight: 400;\">78.4 million<\/span><\/a><span style=\"font-weight: 400;\"> of our most vulnerable patients, is a necessity to primary care. Medicaid beneficiaries look like pregnant women needing prenatal care. Children requiring early intervention to reach developmental milestones. They are people facing homelessness who need diabetes management to avoid hospitalization. Those with disabilities who cannot afford prosthetics after amputation with their current coverage plan in a non-expanded state. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">These are the faces of Medicaid \u2013\u00a0 <\/span><a href=\"https:\/\/www.kff.org\/medicaid\/issue-brief\/10-things-to-know-about-medicaid\/#:~:text=1.,half%20of%20adults%20in%20poverty.\"><span style=\"font-weight: 400;\">nearly 1 in 5 Americans<\/span><\/a>,<span style=\"font-weight: 400;\"> ranging from children, pregnant individuals, the elderly, those with disabilities, and our unhoused neighbors. Cutting or underfunding this program doesn\u2019t just trim a budget line but denies essential, often life-sustaining care to those already living on the margins.<\/span><\/p>\n<h3>Call for Advocacy<\/h3>\n<p><span style=\"font-weight: 400;\">Many leading medical organizations, including the <\/span><a href=\"https:\/\/www.aafp.org\/advocacy\/advocacy-topics\/health-care-coverage\/medicaid.html\"><span style=\"font-weight: 400;\">American Academy of Family Physicians (AAFP)<\/span><\/a><span style=\"font-weight: 400;\">, are urgently calling on Congress to protect Medicaid from funding cuts. As frontline providers, family physicians deliver comprehensive care across the lifespan, \u201cfrom cradle to grave.\u201d Each and everyday we witness the critical role this bedrock program plays in improving access, outcomes, and stability for our patients. As a resident physician of Family Medicine in Texas, I know firsthand how cuts to Medicaid impact not just the patients but also entire healthcare systems. <\/span><\/p>\n<p>I work in <a href=\"https:\/\/www.kff.org\/status-of-state-medicaid-expansion-decisions\/#:~:text=To%20date%2C%2041%20states%20(including,be%20downloaded%20as%20a%20Powerpoint.\"><span style=\"font-weight: 400;\">Texas, which is one of 10 states<\/span><\/a><span style=\"font-weight: 400;\"> that have not yet adopted Medicaid expansion. <\/span><span style=\"font-weight: 400;\">Without expansion, many working Texan families fall into a \u201ccoverage gap\u201d where they make too much to be eligible for federal program coverage, but too little to afford private insurance. With <\/span><a href=\"https:\/\/www.kff.org\/medicaid\/issue-brief\/how-many-uninsured-are-in-the-coverage-gap-and-how-many-could-be-eligible-if-all-states-adopted-the-medicaid-expansion\/\"><span style=\"font-weight: 400;\">42% of the nation\u2019s coverage gap population<\/span><\/a><span style=\"font-weight: 400;\">, Texas leads all states in leaving low-income adults without affordable health coverage.<\/span><\/p>\n<blockquote class=\"instagram-media\" data-instgrm-captioned=\"\" data-instgrm-permalink=\"https:\/\/www.instagram.com\/p\/DJrwuGEuspb\/?utm_source=ig_embed&amp;utm_campaign=loading\" data-instgrm-version=\"14\" style=\" background:#FFF; border:0; border-radius:3px; box-shadow:0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width:658px; min-width:326px; padding:0; width:99.375%; width:-webkit-calc(100% - 2px); width:calc(100% - 2px);\">\n<\/blockquote>\n<h3>Public Sentiment about Medicaid<\/h3>\n<p><span style=\"font-weight: 400;\">The public shares a similar sentiment, despite political party affiliation, with <\/span><a href=\"https:\/\/www.kff.org\/medicaid\/poll-finding\/kff-health-tracking-poll-public-views-on-potential-changes-to-medicaid\/#:~:text=Nearly%20all%20(97%25)%20adults%20say%20Medicaid%20is%20at%20least%20somewhat%20important%20for%20people%20in%20their%20local%20community%2C%20including%20about%20three%20in%20four%20(73%25)%20who%20say%20it%20is%20%E2%80%9Cvery%20important.%E2%80%9D\"><span style=\"font-weight: 400;\">97% of Americans<\/span><\/a><span style=\"font-weight: 400;\"> believing Medicaid to be important for their local communities and <\/span><a href=\"https:\/\/www.kff.org\/medicaid\/poll-finding\/kff-health-tracking-poll-public-views-on-potential-changes-to-medicaid\/#:~:text=Nearly%20all%20(97%25)%20adults%20say%20Medicaid%20is%20at%20least%20somewhat%20important%20for%20people%20in%20their%20local%20community%2C%20including%20about%20three%20in%20four%20(73%25)%20who%20say%20it%20is%20%E2%80%9Cvery%20important.%E2%80%9D\"><span style=\"font-weight: 400;\">56%<\/span><\/a><span style=\"font-weight: 400;\"> believing it to be important for their families. <\/span><a href=\"https:\/\/www.kff.org\/medicaid\/poll-finding\/kff-health-tracking-poll-public-views-on-potential-changes-to-medicaid\/#:~:text=Nearly%20all%20(97%25)%20adults%20say%20Medicaid%20is%20at%20least%20somewhat%20important%20for%20people%20in%20their%20local%20community%2C%20including%20about%20three%20in%20four%20(73%25)%20who%20say%20it%20is%20%E2%80%9Cvery%20important.%E2%80%9D\"><span style=\"font-weight: 400;\">Nearly 53%<\/span><\/a><span style=\"font-weight: 400;\"> of Americans state they themselves or a family member have been funded by Medicaid at one point in their lives, underscoring the program\u2019s broad reach. For Texas specifically, recent polling\u00a0 by the Barbara Jordan Public Policy Research and Survey Center at Texas Southern University indicates that <\/span><a href=\"https:\/\/www.tsu.edu\/news\/2025\/03\/tsu-researchers-find-majority-of-texans-and-super-majority-of-black-texans-support-medicaid-expansion-recreational-marijuana-and-casino-gambling\"><span style=\"font-weight: 400;\">51% of Texans<\/span><\/a><span style=\"font-weight: 400;\"> favor expanding Medicaid access. This remains consistent with 2023 polling by The University of Texas, in which <a href=\"https:\/\/texaspolitics.utexas.edu\/set\/support-or-oppose-expanding-eligibility-medicaid-government-health-insurance-and-long-term-care\">73% of Texas voters<\/a> supported Medicaid expansion.<\/span><\/p>\n<h3>The Successes of Medicaid Expansion<\/h3>\n<p><span style=\"font-weight: 400;\">It is clear that Medicaid expansion increases access to healthcare and thus <\/span><a href=\"https:\/\/www.cbpp.org\/research\/health\/medicaid-expansion-frequently-asked-questions-0#_ftn37\"><span style=\"font-weight: 400;\">improves overall health outcomes<\/span><\/a><span style=\"font-weight: 400;\">. This includes decreasing maternal and infant mortality rates, which should be of particular interest to Texas as the state\u2019s maternal mortality rate is among the <\/span><a href=\"https:\/\/www.americashealthrankings.org\/explore\/measures\/maternal_mortality_c\/TX\"><span style=\"font-weight: 400;\">highest in the country<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/www.texastribune.org\/2024\/09\/18\/maternal-mortality-2020-2021\/\"><span style=\"font-weight: 400;\">continues to rise<\/span><\/a><span style=\"font-weight: 400;\">. Expansion has been found to <\/span><a href=\"https:\/\/www.cbpp.org\/research\/health\/medicaid-expansion-frequently-asked-questions-0#_ftn37\"><span style=\"font-weight: 400;\">offset healthcare costs<\/span><\/a><span style=\"font-weight: 400;\"> not just by improving hospital compensation, reducing emergency service usage, and increasing federal funding, but also by <\/span><a href=\"https:\/\/www.cbpp.org\/research\/health\/medicaid-expansion-frequently-asked-questions-0#_ftn37\"><span style=\"font-weight: 400;\">improving the financial security<\/span><\/a><span style=\"font-weight: 400;\"> of beneficiaries. Reducing medical bills has a powerful ripple effect on the financial well-being of our society, for example, by leading to better credit scores and decreasing housing insecurity. A <a href=\"https:\/\/www.themedicalcareblog.com\/defense-of-medicaid\/\">recent blog post<\/a> further highlights the diverse impact of Medicaid funding including addressing homelessness, providing healthcare in rural areas, increasing access to dental care, and even ensuring the financial stability of the healthcare industry e.g. Medicaid Managed Care Organizations (MCOs).<\/span><\/p>\n<h3>What happens next?<\/h3>\n<p><span style=\"font-weight: 400;\"><img loading=\"lazy\" data-recalc-dims=\"1\" decoding=\"async\" data-attachment-id=\"28130\" data-permalink=\"https:\/\/www.themedicalcareblog.com\/undervalued-and-underfunded-primary-cares-plea-for-medicaid\/medicaid-buttons-1\/\" data-orig-file=\"https:\/\/i0.wp.com\/www.themedicalcareblog.com\/wp-content\/uploads\/2025\/06\/Medicaid-buttons-1.webp?fit=2000%2C1333&amp;quality=80&amp;ssl=1\" data-orig-size=\"2000,1333\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Medicaid-buttons-1\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/www.themedicalcareblog.com\/wp-content\/uploads\/2025\/06\/Medicaid-buttons-1.webp?fit=300%2C200&amp;quality=80&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/www.themedicalcareblog.com\/wp-content\/uploads\/2025\/06\/Medicaid-buttons-1.webp?fit=665%2C443&amp;quality=80&amp;ssl=1\" class=\"alignleft wp-image-28130\" src=\"https:\/\/i0.wp.com\/www.themedicalcareblog.com\/wp-content\/uploads\/2025\/06\/Medicaid-buttons-1.webp?resize=245%2C164&amp;quality=80&amp;ssl=1\" alt=\"Pile of Medicaid buttons\" width=\"245\" height=\"164\" srcset=\"https:\/\/i0.wp.com\/www.themedicalcareblog.com\/wp-content\/uploads\/2025\/06\/Medicaid-buttons-1.webp?resize=300%2C200&amp;quality=80&amp;ssl=1 300w, https:\/\/i0.wp.com\/www.themedicalcareblog.com\/wp-content\/uploads\/2025\/06\/Medicaid-buttons-1.webp?resize=1024%2C682&amp;quality=80&amp;ssl=1 1024w, https:\/\/i0.wp.com\/www.themedicalcareblog.com\/wp-content\/uploads\/2025\/06\/Medicaid-buttons-1.webp?resize=768%2C512&amp;quality=80&amp;ssl=1 768w, https:\/\/i0.wp.com\/www.themedicalcareblog.com\/wp-content\/uploads\/2025\/06\/Medicaid-buttons-1.webp?resize=1536%2C1024&amp;quality=80&amp;ssl=1 1536w, https:\/\/i0.wp.com\/www.themedicalcareblog.com\/wp-content\/uploads\/2025\/06\/Medicaid-buttons-1.webp?resize=660%2C440&amp;quality=80&amp;ssl=1 660w, https:\/\/i0.wp.com\/www.themedicalcareblog.com\/wp-content\/uploads\/2025\/06\/Medicaid-buttons-1.webp?w=2000&amp;quality=80&amp;ssl=1 2000w, https:\/\/i0.wp.com\/www.themedicalcareblog.com\/wp-content\/uploads\/2025\/06\/Medicaid-buttons-1.webp?w=1330&amp;quality=80&amp;ssl=1 1330w\" sizes=\"auto, (max-width: 245px) 100vw, 245px\"\/> <\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u200b\u200bIn alignment with <\/span><i><span style=\"font-weight: 400;\">The Medical Care Blog<\/span><\/i><span style=\"font-weight: 400;\">\u2019s 2025 theme, <\/span><a href=\"https:\/\/www.themedicalcareblog.com\/political-determinants-of-health-consensus\/\"><span style=\"font-weight: 400;\">\u201cPolitical Determinants of Health,\u201d<\/span><\/a><span style=\"font-weight: 400;\"> healthcare providers must continue to advocate for the protection of Medicaid and confront the potential harms of inaction through a Health in All Policies framework. <\/span><span style=\"font-weight: 400;\">Funding threats are setting in motion a cascade of consequences policymakers will not be able to ignore for long, including worsening health inequities, rising emergency care costs, poorer health outcomes, and an erosion of the primary care workforce. In this crucial moment, policymakers must listen to frontline healthcare providers and the patients they serve to protect Medicaid.<\/span><\/p>\n<p><!-- Fanciest Author Box v2.1 --><\/p>\n<div id=\"ts-fab-below-28121-8918\" class=\"ts-fab-wrapper ts-fab-icons-text\">\n<div class=\"ts-fab-tabs\">\n<div class=\"ts-fab-tab\" id=\"ts-fab-bio-below-28121-8918\">\n<div class=\"ts-fab-avatar\"><img decoding=\"async\" data-recalc-dims=\"1\" src=\"https:\/\/i0.wp.com\/www.themedicalcareblog.com\/wp-content\/uploads\/2025\/06\/DiFiore-Emma-2.jpg?w=64&amp;quality=89&amp;ssl=1\" alt=\"Emma DiFiore\"\/><\/div>\n<div class=\"ts-fab-text\">\n\t\t\t<!-- \/.ts-fab-header --><\/p>\n<p>Emma DiFiore, MD is a resident physician at the Family Medicine Residency Program at UTHealth Houston. She earned her Doctor of Medicine from the Burnett School of Medicine at Texas Christian University. Her clinical and academic interests include street medicine, healthcare for people experiencing homelessness, addiction medicine, harm reduction, HIV care, women\u2019s health, reproductive justice, and preventive care. Dr. DiFiore is committed to advancing equitable, compassionate, and comprehensive primary care for underserved communities. She is particularly interested in leveraging research as a tool for advocacy and systems-level change.<\/p>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"ts-fab-tab\" id=\"ts-fab-latest-posts-below-28121-8918\">\n<div class=\"ts-fab-avatar\"><img decoding=\"async\" data-recalc-dims=\"1\" src=\"https:\/\/i0.wp.com\/www.themedicalcareblog.com\/wp-content\/uploads\/2025\/06\/DiFiore-Emma-2.jpg?w=64&amp;quality=89&amp;ssl=1\" alt=\"Emma DiFiore\"\/><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"sharedaddy sd-block sd-like jetpack-likes-widget-wrapper jetpack-likes-widget-unloaded\" id=\"like-post-wrapper-106482678-28121-68445993103ca\" data-src=\"https:\/\/widgets.wp.com\/likes\/?ver=14.7#blog_id=106482678&amp;post_id=28121&amp;origin=www.themedicalcareblog.com&amp;obj_id=106482678-28121-68445993103ca\" data-name=\"like-post-frame-106482678-28121-68445993103ca\" data-title=\"Like or Reblog\">\n<h3 class=\"sd-title\">Like this:<\/h3>\n<p><span class=\"button\"><span>Like<\/span><\/span> <span class=\"loading\">Loading&#8230;<\/span><\/p>\n<p><span class=\"sd-text-color\"\/><a class=\"sd-link-color\"\/><\/div>\n<p><h3 class=\"jp-relatedposts-headline\"><em>Related<\/em><\/h3>\n<\/p><\/div>\n<p><script async src=\"\/\/www.instagram.com\/embed.js\"><\/script><br \/>\n<br \/><\/p>\n","protected":false},"excerpt":{"rendered":"<p>There has been a constant battle for Medicaid in America \u2013 from states slashing Medicaid reimbursements or refusing to expand access, to Congress now threatening to cut and restrict Medicaid funding altogether. The program, which funds 78.4 million of our most vulnerable patients, is a necessity to primary care. Medicaid beneficiaries look like pregnant women [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":279574,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[108446,108447,108448,12154,108449,108440,108441,108442,108450,99154,108451,108452,108443,182,108444,12402,108445],"tags":[12569,108453,108454,29171,17156,108455,108456,13301,11160,108457,63933,28642,108458,48229],"dealstore":[],"offerexpiration":[],"class_list":["post-279573","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-center-for-medicaid-and-medicare-services","category-centers-for-medicare-and-medicaid-services","category-cms","category-disability","category-federal-policy","category-health-equity","category-health-policy","category-healthcare-costs-financing","category-healthcare-payment","category-medicaid","category-payment","category-payment-reform","category-policy","category-politics","category-primary-care","category-public-health","category-workforce","tag-cares","tag-center-for-medicaid-and-medicare-services","tag-centers-for-medicare-and-medicaid-services","tag-cms","tag-disability","tag-federal-policy","tag-healthcare-payment","tag-medicaid","tag-payment","tag-payment-reform","tag-plea","tag-primary","tag-underfunded","tag-undervalued"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Undervalued and Underfunded: Primary Care\u2019s Plea for Medicaid - Som2ny Network<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/fivemor.com\/?p=279573\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Undervalued and Underfunded: Primary Care\u2019s Plea for Medicaid - Som2ny Network\" \/>\n<meta property=\"og:description\" content=\"There has been a constant battle for Medicaid in America \u2013 from states slashing Medicaid reimbursements or refusing to expand access, to Congress now threatening to cut and restrict Medicaid funding altogether. The program, which funds 78.4 million of our most vulnerable patients, is a necessity to primary care. 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