Tuesday, November 27, 2012

Differing Perspectives on Georgia Medicaid Expansion

Report Takes New Look at Medicaid Expansion Costs by Andy Miller.  Georgia Health News.  November 26, 2012.

Depending upon the point of view, expansion of Medicaid in Georgia is either a fantastic deal or far too expensive.

In a report released by the Urban Institute, 698,000 Georgians could enroll in Medicaid under expansion, roughly cutting the rolls of Georgia's uninsured in half.  The Urban Institute estimates that Georgia's 10-year cost for expansion would be 1.8 billion, including reductions of $726 million in uncompensated care.  Experts cited in the article point to the benefits of lowering the rates of premature deaths that Medicaid expansion could bring.  In addition other provisions of the ACA will require expansion of Medicaid rolls by 157,000 even if the state does not opt for expansion.

On the other hand, Governor Nathan Deal believes that expansion will require a massive tax increase and crowd out other priorities.  He also believes that cost estimates in the range of the Urban Institute low-ball the cost of the program.  In any case, Governor Deal believes that Georgia does not have the money for expansion.

This article addresses expansion of Medicaid in other states.


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