The Medicaid expansion is not such a good deal for states or the poor

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Article Highlights

  • In the wake of the Supreme Court decision, states should not rush to expand eligibility for Medicaid.

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  • States can’t be certain that federal support promised in the #ACA will be available, & a better deal might be possible.

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  • Adding millions more to Medicaid rolls will exacerbate existing problems of access to providers.

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Editor's note: This article appeared in the February 2013 issue of the Journal of Health Politics, Policy and Law.

Abstract:

In the wake of the Supreme Court decision, states should not rush to expand eligibility for Medicaid. They cannot be certain that the federal support promised in the Patient Protection and Affordable Care Act will remain available and policies to reduce federal spending might change the terms that the PPACA offered the states. Adding millions more to Medicaid rolls will exacerbate existing problems of access to providers. A more humane policy would give everyone — even the poor — a choice of health plans.

 

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About the Author

 

Joseph
Antos

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    Mr. Antos's research focuses on the economics of health policy—including Medicare and broader health system reform, health care financing, health insurance regulation, and the uninsured—and federal budget policy. He has written and spoken extensively on the Medicare drug benefit and has led a team of experienced independent actuaries and cost estimators in a study to evaluate various proposals to extend health coverage to the uninsured. His work on the country’s budget crisis includes a detailed plan to achieve fiscal stability and economic growth developed in conjunction with AEI colleagues.  


    Joseph Antos is also a health adviser to the Congressional Budget Office and recently completed two terms as a commissioner of the Maryland Health Services Cost Review Commission.  Before joining AEI, Mr. Antos was Assistant Director for Health and Human Resources at the Congressional Budget Office and held senior positions in the U.S.Department of Health and Human Services, the Office of Management and Budget, and the President’s Council of economic Advisers.


     



    Watch Mr. Antos in an interview with Bill Erwin of the Alliance for Health Reform on "Will Health Reform Reduce the Federal Deficit?"


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