Health Equity
Medicaid Enrollment Touches 39% of the Residents of The District of Columbia; DC’s 70/30 FMAP is Vital for the Maintenance of Health & Human Services
A reduction in the District’s FMAP would not lead to long-term government savings and would have a ripple effect throughout the entire health system in the DMV, crippling access to care for not only Medicaid beneficiaries but also all those who live, work, and visit the District of Columbia, including members of Congress and their staffs.
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Why does DC receive an Enhanced FMAP Rate?
The DC FMAP rate of 70% established by the Revitalization Act resulted from bipartisan analysis, discussion, and negotiation by Congressional leadership aiming to balance fairness with the District’s restricted ability to generate revenue. Congress recognized that the District of Columbia faces unique financial challenges due to its non-state status and the significant amount of federally-owned land within its boundaries. The District is unable to tax non-residents’ earnings, so these workers pay no taxes to support the infrastructure and services, such as roads, public safety and emergency services that they benefit from in the District. The District is also unable to tax up to 40% of the real property within its borders due to statutory restrictions.
Why are we concerned about DC's FMAP now?
Members of Congress have proposed reducing the DC FMAP to the statutory minimum for all other states, which is currently 50% (but could be reduced even more). Such a change would impact every physician and every practice, regardless of type, location, and payers contracted. Even practices who take no insurance will not be able to send patients for specialist care, hospital admissions, or other types of care.
What can MSDC members do?
- If you know a member of Congress or staffer, reach out to them and share how DC cuts will hurt your patients.
- Share your relationships and outreach with hay@msdc.org so we can help coordinate advocacy efforts.
- Email hay@msdc.org if you would like to be paired with a physician member of Congress office and trained by MSDC staff on how to reach out.
Resources
- DC FMAP cut fact sheet
- California Medical Association fact sheet on Medicaid cuts
- MSDC and healthcare association letter to Congress arguing against DC FMAP changes.
- MSDC original story on Medicaid changes.
News, Statements, and Testimony on Health Equity Issues
Super Sleuth Dr. Tu
Dr. Raymond Tu (L) and MSDC 2022 President Dr. Kirtsy Nevin (R) at 2022 Capital Healthcare Honors
Like a detective, as a child, Dr. Raymond Tu would comb through the Highlights magazine and head straight for the hidden-object puzzle pages asking readers to find specific hidden objects. “I was always very good at finding things and identifying patterns. We are all born with the same eyes, but the way information travels to our brains and the messages that are sent are different for everyone. I happen to have a skill for visual perception,” he said. His friends joke that it’s best to bring him along whenever they buy a new car since he can spot any dents or flaws.
Dr. Tu always wanted to pursue a career in medicine and was drawn to neuroradiology because it required him to apply his keen sense of observation. For him, the beauty of medicine and the human body is the mysteries it presents. “There are no limits to the problems and variety of problems that the human body can exhibit,” he said. In his field, he adheres to a strict patient examination pattern. “Examining patients must be done methodically, if not, doctors risk missing something. There is a pattern to radiology. It’s time to troubleshoot when something doesn’t fit the pattern.”
During his career, Dr. Tu has grown into a successful leader and today is the Chief Medical Officer of MedStar Family Choice in D.C. In this role, his team manages over 70,000 District Medicaid Enrollees. “I am passionate about making sure that the underserved have access to healthcare,” he said.
He is also a lecturer and offers insights to early-career physicians on the topics of transactional and relational personalities. “Physicians are taught how to be transactional. They conduct their examinations like going to a grocery store, they begin at the top of their list and work their way through it,” he said. Relational skills are harder to develop. “Relational personalities are successful at bringing people together. These are people who can walk into a room and find a commonality with the room’s occupants,” he said.
Dr. Tu enjoys being an “observational animal” as he calls it. And that extends beyond radiology. Dr. Tu has a strong appreciation for the fine arts, especially the Washington Color Field artists. “I enjoy their massive size and color. Contemporary canvasses are filled with big swabs of color,” he said. One of his favorite artists is Sam Gilliam, as well as other artists that contributed to the Washington Color Field series now on display at the Hirschhorn Museum.
Practicing in the District has the advantage of having several museums just beyond his doorstep. “I served on the board of the Corcoran Gallery, now the National Gallery of Art, for several years,” he said. He retells the story of a woman he shared a ride with from a Corcoran board meeting. “She told me how her husband collected art and it was piled everywhere. She threatened to throw it out if he didn’t find a new home for it. She referred to the art as junk,” he said. As the ride neared its destination, Dr. Tu learned that the woman talking about her husband’s art collection was none other than Olga Hirschhorn. “She was a very unassuming woman,” he added.
In addition to the board at The Corcoran, Dr. Tu has been a long-time member of MSDC and has served on the board, been President of the organization, and chaired the Finance Committee. “MSDC is a great organization. We have made a lot of progress toward our mission of ensuring the well-being of physicians.” According to Dr. Tu, “if you aren’t at the table, you are the one being eaten.” Dr. Tu encourages other physicians to become a part of important policy decisions impacting their career field.
Do you know a physician who should be profiled in the MSDC Spotlight Series? Submit a nomination to Robert Hay, hay@msdc.org, for a future story. MSDC membership is encouraged for featured physicians.