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Why are the states so hesitant about Medicaid expansion?

Policy Interns


Where the States Stand

Figure 1. States position on Medicaid Expansion under the ACA.

Via: The Advisory Board Company

To expand, or not to expand Medicaid, that is the question.

Why are some states skeptical about Medicaid expansion and making the assumption that the “plan is [too] costly?” If the states expand their Medicaid program, they would receive federal funds up to 100 percent until 2017 under the ACA. It seems silly that the states would reject the idea of expanding Medicaid programs if it could potentially benefit them financially as a result of the reduction in uncompensated health care costs as well as reducing the number of uninsured individuals.

The purpose of Medicaid expansion under the ACA is to provide broader health coverage to lower-income individuals. States are not required to implement the provisions, however, it is “the single largest source of coverage for nursing home and community-based long-term care.”

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Why is home health service important? It is becoming more prevalent to us as the generation gets older and the aging population continues to increase. It is crucial that policymakers and healthcare providers consider future healthcare alternatives in better improving long term health services to avoid hospital readmissions or to financially alleviate the costs of treating chronic illnesses.

Policy Interns

What does Medicare or home health services mean to you? Is it even relevant?

I’ll tell you why we should care. Not to be the bearer of bad news, but you will eventually grow older and hospital visits will become more frequent. Eventually we will be enrolling in Medicare programs or experiencing at first-hand, various healthcare options for our parents and grandparents. Looking at long-term healthcare plans is as relevant to us today as it will be to us later in life. There is also the fact that you’ve already experienced a new additional 0.9 percent Medicare tax on individual wages, which may potentially heighten your interest.

Home health services originated at the start of the 20th century. They were created to alleviate the burdens of health and social needs for neglected patients. One of the main incentives of home health care is that it reduces overall healthcare…

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