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There is a constituency paying a steep price decisions not to expand Medicaid eligibility under the Affordable Care Act: local and regional hospitals, and often facilities that serve the public.
While a recent report indicated that newly eligible Medicaid enrollees may be more costly than anticipated to cover, a Health Affairs study points to one promising cost-reduction solution--care coordination.
While more than a dozen states that chose to expand Medicaid have experienced enrollment success past projected numbers, that latest surge raises concerns that the pricey program is jeopardizing states' budgets.
For insurance plans, the King v. Burwell decision affirms tax credits will be available for the 6.4 million who might have lost coverage. It also has the immediate effect of temporarily stabilizing premiums and likely participation in the 19,000,000 enrollee individual insurance market. But beyond this, a number of issues and challenges relevant to insurers remain as part of the unfolding of the Affordable Care Act's implementation.
Alaska Gov. Bill Walker made moves Thursday to expand Medicaid to his state's low-income residents.
Despite relatively dramatic growth in hospital spending over the past year and the expansion of health insurance coverage to millions of Americans as a result of the Affordable Care Act, acute care facilities still struggle with eroding margins.
As the agency celebrates the 50th anniversary of the Medicaid program, the program is mired in controversies such as cost overruns and bitter politics, according to USA Today.
Although the Affordable Care Act has helped decrease the uninsured rate, it hasn't addressed the underlying problem of healthcare costs, J. Mario Molina, CEO of Molina Healthcare, one of the nation's largest managed care companies.
It was more expensive than anticipated to cover newly eligible individuals under Medicaid, according to a recent report, a finding that may raise concerns for states weighing expansion of the program in the wake of the Supreme Court's ruling to uphold a key provision of the Affordable Care Act.
President Barack Obama said last month that his focus will now turn to convincing governors to expand the program who have thus far resisted. Some states have in fact made moves to do so, many of them embracing the idea of waivers instead of full Medicaid expansion.
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