October 10, 2014

Medicaid Expansion: Wisconsin Got It Right

On paper, Medicaid coverage appears far better than what most Americans enjoy—with lower cost-sharing and unlimited benefits. But by almost all measures, Medicaid enrollees fare worse than similar patients with private insurance and often experience worse health issues than patients with no insurance. Wisconsin made a wise choice when it decided to forgo a full Medicaid expansion in favor of a smaller program that would maximize the availability of private coverage for Wisconsin’s low-income residents.

Download
Medicaid Expansion - Wisconsin Got It Ri[...]
Adobe Acrobat document [1.6 MB]

September 19, 2014

 

The State of Oklahoma recently chose not to expand Medicaid under the Affordable Care Act provisions. The expansion would have swelled coverage to adults with incomes up to 133% of the federal poverty level, creating a substantial increase in the number of people covered by Medicaid. With the state already struggling to fund the one in four Oklahomans on Medicaid, the proposed expansion would have caused significant budget concerns by pushing enrollment to one in three Oklahomans on Medicaid (33% as compared to the current 27%). Jagadeesh Gokhale, a member of the Social Security Advisory Board, estimated that by 2023, the Oklahoma Medicaid bill could be as high as $6.5 billion per year, the same as the entire state appropriated budget in 2012.

Download
Medicaid Expansion Bad For States.pdf
Adobe Acrobat document [26.9 KB]

February 19, 2014

Oklahoma has moved most of its Medicaid enrollees into privately-administered managed care plans under a program known as SoonerCare. The state should also move Medicaid enrollees to managed drug plans. Virtually all state Medicaid programs distribute some drugs on a fee-for-service (FFS) basis separately from any health plan, but Oklahoma is one of the minority of states that distribute almost all their Medicaid drugs this way. State Medicaid programs that carve out drug benefits often ignore drug therapy coordination and management. By contrast, integrating prescription drugs benefits with Medicaid managed care health plans improves quality and increases efficiency. In addition, privately managed Medicaid drug plans are more efficient than state-administered Medicaid drug benefit programs. Legislators will likely find that drug plan managers will lower costs if they allow drug plans to compete.

Download
Reforming Oklahoma's Medicaid Drug Progr[...]
Adobe Acrobat document [423.1 KB]

November 25, 2013

 

In the debate over expected growth in Oklahoma’s Medicaid costs as a result of President Obama’s health care law, it’s important to get the numbers right. If Oklahoma’s Medicaid population were to grow as a result of the law, Oklahoma taxpayers would be left to pay the bill. It’s nice to know how much something will cost before you buy it. In the end, it would appear that Oklahoma made the right economic decision to reject the Fed’s demands.

Download
Costs Of Medicaid Expansion In Oklahoma
If Oklahoma had agreed to a Medicaid expansion, normal governmental functions would have likely suffered.
Oklahoma Medicaid Expansion.pdf
Adobe Acrobat document [281.5 KB]

Check Your Federal Refund Status

Get in Touch With Me.

Call me at 405 810-8119 with any questions or to schedule an appointment.

 

Greg Karnes CPA

4301 NW 63rd St, Suite 200

Oklahoma City, OK 73116-1504

 

Or you may use my contact form.

 

Competitive Fee Structure

 

… but if you are looking for the cheapest fees, or obsessing about your correct pronouns or global warming/white privilege B.S., or unable to make up your mind as to whether you are a man or a woman, you would be so much happier working with someone else…

… in addition, due to an extremely hectic schedule, only serious inquiries may expect a response …

New tax clients are expected to provide copies of their last 3 years of tax returns and provide permission to contact prior accountant to resolve any issues, if necessary.

 

Regretfully, I am unable to accept new clients who have unfiled prior-year’s tax returns, who are not current with all prior tax obligations, are involved in any marijuana-related business ventures, use marijuana or illegal drugs, have any income from gambling, invest in cryptocurrency, are experiencing extreme financial difficulties, are personal-injury attorneys, in the construction industry or are in the country illegally. Newly formed businesses are frowned upon as well.

 

Though not required, supporters of President Donald J. Trump, Governor Kevin Stitt, the National Rifle Association & clients who are alpha males & females, ethical, hard-working, cheerful, optimistic and NOT easily offended are generally preferred.

 

Absolutely NO LAZY, TREE-HUGGING, CRITICAL RACE THEORY PROMOTING, ECONOMICALLY ILLITERATE,  GODLESS, RIOTING, KNEELING, CENSORING, RACIALLY & GENDER OBSESSED, DR. SEUSS BOOK-BANNING, FIREARM CONFISCATING,  BIG GOVERNMENT SOCIALISTS allowed beyond the front door, however!

Due to the alleged gang activity and drug dealing at the nearby Chelsea Manor Apts. & 7-11 Convenience Store, I would personally recommend "packing some heat" while in this area (and perhaps Penn Square Mall as well). Some believe the OKC Police Dept. has become too constrained and are hesitant to confront these gangbangers and put them behind bars where they rightfully belong. "Talk on the Street" seems to be that this emanates from an extremely weak & naive Mayor who purportedly suffers from a severe case of "Low T," a weak City Manager, a new, effeminate-looking Police Chief, who refuses to enforce our nation's immigration laws & a Ward 6 Council Girl who took her Oath Of Office using a book on Marxism.

Everything that Mayor David “Pajama Boy” Holt & Police Chief “Wily” Wade Gourley need to know to improve law enforcement in OKC is in this book…if only they had some courage...

Calm Guide Sheet by Greg Karnes on Scribd

Make The University of Oklahoma Great Again!

 

(Let us return to the time before the “Loudmouth Communist Snowflakes” and the less than competent financial administrators arrived on campus)

Sooner Football Commitment List

ODELL BECKHAM JR.

NOVEMBER 23, 2014

GREATEST CATCH EVER ??

RUSSELL WESTBROOK

FEBRUARY 16, 2015

NBA ALL STAR GAME MVP

41 POINTS  

3RD MOST EVER SCORED

OU SOONER - SAMAJE PERINE

NOVEMBER 22, 2014

427 RUSHING YARDS

MOST EVER BY A COLLEGE RUNNING BACK

Top 10

Taxpayer Enemies

 

Those Individuals Or Groups Who Seem Most Intent On Penalizing Success & Achievement & Desiring A Return To The Days Of Low Economic Growth During The Jimmy Carter/Barry Obama - "Sleepy Joe" Biden Era

 

(in order, as of today)

The Caracas Caucus

 

(the Top 10 “Americans” who seem most hell-bent on destroying our jobs & economy in order to advance the cause of centralized government control over our lives and private businesses to the point where we are forced to surrender our individual liberties to the state)

The Terrorist Caucus

 

Those Individuals Or Groups Who

Come Across  To Me As Ambivalent Towards Islamic

Terror Activities

The "Soft On Crime"

"Hug-A-Thug" Caucus

 

The Top 10 Individuals Or Groups Who

Come Across  To Me As Coddling The Criminal Element At The Expense Of The Public Safety Of  Law-Abiding Citizens

The “Ugly” Caucus

 

The Top 10 Individuals On The Taxpayer Payroll That Strike Me As Being Just As Unattractive On The Inside As They Are On The Outside.

LOWER TAXES

=

HIGHER GOVERNMENT REVENUE

Per Capita Taxes Have More Than Doubled Since JFK

Employers: Click here to verify that all your employees are legally in the United States

How To Anonymously Report Illegal Aliens 

AOC end of worldCountdown

The United States leads the world in CO2 reductions

Is the individual depicted above the most ill-prepared person Oklahoma has ever had in a General Election for a U.S. Senate seat?