Medicaid Expansion; Are You In or Are You Out?. Presented by Chris Brown Senior Economic Associate. Today’s Outline. Background -Law -Option to expand coverage Modeling Overview Sample Scenarios. The Law. Patient Protection and Affordable Care Act
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Senior Economic Associate
-Option to expand coverage
…Late June SCOTUS rules states no longer face a penalty for not expanding Medicaid coverage, essentially, making it optional.
REMI has worked extensively to answer difficult “what if?” questions concerning economic policy, including questions concerning healthcare and fiscal policy.
What are the potential net fiscal and job impacts on my state?
Need to have ability to test alternatives
-High and low - Range of number of insured
- Varying levels of coverage within exchange
- Potential for cost containment or decreases
What is impact if state opts-in?
What is impact if state opts-out?
-Example data however states have begun to compile this information already
- Simulation still can allow for Variability
Input data can come from micro simulation model or some other means.
Each component will be varied based on state and existing health care structure
Total increase in expenditure = $112 Million annually
Spread across health care sectors based on Medicaid expenditures
Includes both the effects of the mandate along with the impacts of the expanded coverage
Red = State Costs
Green = Increase in Healthcare expenditures
Red = State Costs
Red/Green = Both cost and increase in expenditures