New Study Projects Fiscal Effects of Medicaid Expansion in Georgia

A new study by the Urban Institute and the Robert Wood Johnson Foundation estimates that by expanding Medicaid as outlined under the Affordable Care Act, Georgia could gain additional federal funding of between $45.4 and $51.6 billion, while increasing its costs between $5.2 and %5.5 billion over the period between 2017 and 2026. According to teh report, that would mean receiving between $8.68 and $9.42 for each state dollar spent on the program.

The projected figures take into consideration the fact that expanding Medicare to those earning between 100% and 138% of the federal poverty level would reduce spending on uncompensated care by both the state and federal governments, along with a decrease of federal subsidies given to individuals now enrolled in the state health exchange who move to the Medicaid plan.

Through the end of 2016, the federal government is paying 100% of the costs associated with the expanded program. Beginning in 2017, that matching percentage begins to decline. The study’s authors conclude that the financial benefits to states will continue even considering that the states will begin cost sharing.

In the 19 states that have not yet expanded Medicaid eligibility, a small investment of state dollars would yield much larger infusions of federal resources, even taking into account offsetting reductions in federal marketplace subsidies and uncompensated care savings.

Thus far, expansion states have found that state cost increases resulting from higher caseloads are outweighed by state cost savings and revenue growth that result from expansion. For most states with relevant analyses, net fiscal gains are expected for the foreseeable future, even after states begin paying 10 percent of expansion costs.

But, as reported in Georgia Health News, there are several additional factors to consider prior to expansion. A study committee from the Georgia Chamber of Commerce is preparing to release a study with its recommendations for how to expand healthcare to the uninsured. One consideration is the need to provide healthcare to the Peach State’s rural residents. Several hospitals in rural Georgia have closed or reduced operations because they do not have enough patients paying for 100% of the cost of their care due to low reimbursement rates from Medicare, Medicaid, and some private health insurance.

The 2016 political situation is a factor as well. From the Georgia Health News story:

Republican candidate Donald Trump (like the leading GOP rivals he beat for the nomination) has talked about scrapping the ACA, so it’s hard to say what would happen to Medicaid expansion if he’s elected.

Democratic candidate Hillary Clinton has reiterated her longtime support of the ACA, [Georgia State University’s Bill] Custer noted, and thus Medicaid expansion would be more or less cemented in place on the federal level for four years if she wins the White House.

Before Georgia could participate in the expanded Medicaid program, the legislature would have to vote to approve it.

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Dave Bearse
Dave Bearse

Jon, I think you wrong concerning people that don’t currently qualify for Medicaid, but would qualify under ACA-expanded Medicaid, being eligible for insurance subsidies on the state exchange. Such people are SOL.

https://www.healthcare.gov/medicaid-chip/medicaid-expansion-and-you/ : “If your state hasn’t expanded Medicaid, your income is below the federal poverty level, and you don’t qualify for Medicaid under your state’s current rules, you won’t qualify for either health insurance savings program: Medicaid coverage or savings on a private health plan bought through the Marketplace.”

LynnG
LynnG

No one believes in the federal government anymore. They have used our government as a weapon against the people. Within the next few years some are expecting that 1 in two children will be autistic due to forced vaccinations.
Crony capitalism has destroy our government. Its corrupt and does not look after the best for the people.

Davo65
Davo65

This is funny because your crazy. And it’s terrifying; because your crazy.

The Eiger
The Eiger

Remember the days when children didn’t die of whooping cough? When polio was on the verge of being eradicated off the face of the earth? Those were great times. The genius of science was saving lives from small pox and rubella. Now enter crazy people like LynnG and children are dying from diseases from the middle ages. It is so sad that children have to be raised by people this dumb. They have no choice in the matter and don’t know that their lives are being put at risk everyday becasue of someone elses stupidity.

Lea Thrace
Lea Thrace

whoa. that is some expert level tin foil hattery you have going on there.

LynnG
LynnG

Yeah keep on believing that the government is here to help. And I am a majority view that is growing.
When you throw insults at me it just shows that you can not counter with facts.
Go talk to parents of children with autism.

The Eiger
The Eiger

Please give me the facts. Not from Alex Jones but from the CDC or an Emory/Mayo Clinic study. Please show me where 1 in 2 children will have autism. The man who originally linked autism and vaccines has since said he was wrong. That’s a fact. I’m not here to convince crazy that they are crazy. That can’t be done. But I won’t let your stupidity go unanswered. Please, Please! read these articles. What you believe and the lies you spread not only harm people, it kills children. http://www.cdc.gov/vaccinesafety/concerns/autism.html http://www.voicesforvaccines.org/mmr-and-autism-our-story/ http://www.voicesforvaccines.org/how-my-daughter-taught-me-that-vaccines-do-not-cause-autism/ Here is a great one and just in case… Read more »

Ellynn
Ellynn

Why don’t you talk to me instead. I almost died of mumps as an infant before I could even be vaccinated because of some other child’s parents didn’t vaccinate their teenager. I have known health issues that can be traced directly to having mumps or the 106 fever that went with it. I have facts and medical files from 6 well known national private medical intuitions. And not a single one is a debunked study of questionable imperial statistics of dubious origin.

Go head, ask.

LynnG
LynnG

List who funded those studies? No one is against vaccines to save lives. The number of forced vaccines has risen over the years and too many children are developing autism. How do you make a living? So lets go have this discussion and how the federal government has treated veterans. And lets talk about how the tax office is used as a political weapon. And don’t forget Obamacare and how that is not working for many who can not afford it. And and lets talk about the federal influence on education, how is that working out. The federal government is… Read more »

The Eiger
The Eiger

Geez. You ask for facts then post none to support your own claims. Again, please give us a study (scientific and not anecdotal) that supports your claim about autism. The other stuff about the tax office (I guess you mean the IRS), department of education and the treatment of veterans is a distraction from your indefensible position on vaccines.

Ellynn
Ellynn

“No one is against vaccines to save lives”. You have stated you don’t believe and are against herd (aka group) vaccination, which was a proven scientific fact in the 19th century, having originated in the 1760’s among the European aristocrats before working it’s way into the British army and navy in the Napoleonic wars. You contradicted yourself in order to make sure anyone who doesn’t have your point of view is wrong. You also sidetracked into other points of the topic you originated (which was already off topic from the article) in order to avoid a direct question from me.… Read more »

LynnG
LynnG

Should Georgia accept the money from the federal government to expand Medicaid? No based on the record of the federal government success with education, poor health care for veterans, and rising risk of autism which can not be explained.
Studies funded by those that would profit from Georgia taking federal dollars or remarks by those who will profit off growing Medicaid
should not be able to post on this issue.