On February 6, 2020, the U.S. Department of Health & Human Services (HHS) published its annual draft rule governing core provisions of the Affordable Care Act (ACA), including the operation of the marketplaces, standards for individual and small-group market health plans, and premium stabilization programs. This expert perspective focuses on several policies that would have implications for state insurance regulation and the operation of the state-based marketplaces (SBMs). Comments on the rule are due March 2, 2020.
States Expanding Medicaid See Significant Budget Savings and Revenue Gains
Deborah Bachrach, Patricia Boozang, Avi Herring, and Dori Glanz Reyneri, Manatt Health
In addition to the impact that state decisions to expand Medicaid have had on coverage rates across the country, there is an increasing body of evidence showing consistent economic benefits among these states. This report, prepared by Manatt Health, is an update to an April 2015 State Network report, and examines data regarding Medicaid expansion in eleven states, demonstrating that states continue to realize budget savings and revenue gains as a result of expanding Medicaid. Savings and increased revenue in expansion states fall into three major categories, including state savings from accessing enhanced federal matching funds, state savings from replacing general funds with Medicaid funds, and revenue gains through assessments or fees on providers and/or health plans. Previous reports in this ongoing series are available here.