Few Options for Working Poor in States that Block Medicaid Expansion
Adults earning below the federal poverty level who live in the 26 states that have either rejected Medicaid expansion or have yet to commit to it will be ineligible for a federal subsidy to help them buy coverage on the health insurance exchanges.
Many working poor who live in states that won't expand Medicaid also won't be eligible for federal subsidies that would make private health insurance affordable.
A Commonwealth Fund study released this week estimates that a glitch in the implementation of the Patient Protection and Affordable Care Act was created when the U.S. Supreme Court ruled last year that the Medicaid expansion was optional for states. Even with the ruling, no one foresaw that some state would actually reject the billions of federal dollars to prop up the expansion.
However, 42% of adults who've been recently uninsured and who live in the 26 states that have either rejected Medicaid expansion or have yet to commit to it will be ineligible for a federal subsidy to help them buy coverage on the health insurance exchanges.
In those states, the study says, the lowest-income adults—those earning below the federal poverty level, or less than $11,170 for an individual and $23,050 for a family of four in 2012—will not have access to either the Medicaid expansion or subsidized private insurance through the new state insurance marketplaces and are likely to remain uninsured.
- How Top-Ranked MA Plans Earn Their Stars
- Readmissions: No Quick Fix to Costly Hospital Challenge
- How Hospitals Can Become 'Upstreamists'
- 4 Ways to Lower the Cost to Collect from Self-Pay Patients
- House Calls Key to Pioneer ACO Success
- How Telehealth Pays Off for Providers, Patients
- 4 Tips for Managing Employed Physicians
- WellPoint Dominates Nearly Half of Markets, AMA Says
- Defensive Medicine Still Prevalent Despite Tort Reform
- CMS Offers Some ACOs $114M for 'Upfront' Costs