Opinion: Cost of Medicaid expansion often larger than expected

January 18, 2016

In this opinion piece, Brian Blase, senior research fellow with the Spending and Budget Initiative at the Mercatus Center at George Mason University, examines the tradeoffs states make when deciding to expand Medicaid.  He says there is a large amount of evidence that suggests Medicaid is a poorly performing program that should be reformed and not expanded. A Center for Health Care Strategies 2010 policy brief found Arizona offered the best comparison of the ACA expansion population. Based on Arizona's data, Blase says, states that expand Medicaid under the ACA should prepare for much larger enrollment and spending than expected. In fact, data from 2014 and 2015 in states that expanded Medicaid indicates that this is already happening across the country.
Related News:
Louisiana makes great waves with Medicaid expansion - Brookings
Nebraska Medicaid expansion proposal includes job training - NET
Advocates push to expand Medicaid in North Carolina - News & Record
South Dakota Medicaid proposal making progress, Governor says - Yankton Daily Press & Dakotan