As federal health reform legislation has stalled, health policy attention turns to the states, which have many tools to reform their health care systems. While 1115 waivers rightly get a lot of attention, because of their ability to reshape state Medicaid programs, the Affordable Care Act’s Section 1332 waivers continue to be a promising avenue for states.
Estimated Financial Effects of Expanding Oregon’s Medicaid Program under the Affordable Care Act (2014-2020)
State Health Access Data Assistance Center; Oregon Health Sciences University’s Center for Health Systems Effectiveness; Manatt Health Solutions
This analysis estimates the potential costs and benefits of Medicaid expansion for the State of Oregon. It assesses the effect on state general funds, other state funds and the overall impact on health care expenditures. The expenditure estimates incorporated in this analysis are net of the effects of Oregon’s health system transformation. Without health system transformation, the costs of expansion would increase. The analysis estimates that if Oregon chooses to expand Medicaid, it will provide coverage to more than 240,000 newly eligible Oregonians and encourage approximately 20,000 previously eligible Oregonians to enroll in coverage. The estimates in the analysis also suggest this will generate $11.3 billion in federal health care expenditures and a net savings of $79 million to the state general fund. The analysis was produced by the State Health Access Data Assistance Center (SHADAC), Oregon Health Sciences University’s Center for Health Systems Effectiveness (CHSE), and Manatt Health Solutions.