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The Changing Landscape of Medicaid

The Changing Landscape of Medicaid Opinion VIEWPOINT Practical and Political Considerations for Expansion It has long been anticipated that 2014 would be the ate an exchange (Table), including 6 led by Republican David K. Jones, MSPH, MA year in which most major elements of the Patient Pro- governors. This difference is not surprising, given that Department of Health tection and Affordable Care Act of 2010 (ACA) would be much more federal funding is at stake with the Medic- Management and implemented. Yet even after surviving legislative, judi- aid decision. By comparison, Idaho is the only state to Policy, School of Public cial, and electoral challenges, what the law actually will forgo the Medicaid expansion but create a state or part- Health, University of Michigan, Ann Arbor. accomplish is uncertain. A major reason is the promi- nership exchange. nent role given to the states over the implementation of The policy implications of these decisions are enor- 2,3 Phillip M. Singer, the ACA. mous. Nearly 2.6 million Americans in the 25 states not MHSA State flexibility is a double-edged sword. By shift- expanding Medicaid will fall into a coverage gap. These Department of Health ing some difficult decisions from the federal govern- people will be too http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

The Changing Landscape of Medicaid

JAMA , Volume 311 (19) – May 21, 2014

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References (6)

Publisher
American Medical Association
Copyright
Copyright 2014 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.2014.3700
pmid
24710968
Publisher site
See Article on Publisher Site

Abstract

Opinion VIEWPOINT Practical and Political Considerations for Expansion It has long been anticipated that 2014 would be the ate an exchange (Table), including 6 led by Republican David K. Jones, MSPH, MA year in which most major elements of the Patient Pro- governors. This difference is not surprising, given that Department of Health tection and Affordable Care Act of 2010 (ACA) would be much more federal funding is at stake with the Medic- Management and implemented. Yet even after surviving legislative, judi- aid decision. By comparison, Idaho is the only state to Policy, School of Public cial, and electoral challenges, what the law actually will forgo the Medicaid expansion but create a state or part- Health, University of Michigan, Ann Arbor. accomplish is uncertain. A major reason is the promi- nership exchange. nent role given to the states over the implementation of The policy implications of these decisions are enor- 2,3 Phillip M. Singer, the ACA. mous. Nearly 2.6 million Americans in the 25 states not MHSA State flexibility is a double-edged sword. By shift- expanding Medicaid will fall into a coverage gap. These Department of Health ing some difficult decisions from the federal govern- people will be too

Journal

JAMAAmerican Medical Association

Published: May 21, 2014

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