Embracing (or Not) the Medicaid Expansion | Health Care Reform | JAMA Forum Archive | JAMA Network
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JAMA Forum Archive, 2012-2019: Health policy commentary from leaders in the field
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Embracing (or Not) the Medicaid Expansion

Last month, I wrote about the slow trickle of states that were either agreeing or refusing to create local insurance exchanges as the Affordable Care Act (ACA) prescribes. This is one of the 2 major decisions states will have to make about health care in the coming year. The other, of course, is whether they will participate in the Medicaid expansion.

As a quick recap, in 2014, the ACA sought to cover about 16-17 million individuals by broadening eligibility for the Medicaid program to those who earn less than 138% of the federal poverty level (FPL). The reason for this policy was that it would be significantly cheaper to enroll many uninsured people in Medicaid than to help them purchase private insurance.

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