Jul 23, 2019

Study: Medicaid expansion would save lives

A nationwide Medicaid expansion would have prevented more than 15,000 deaths, according to a new analysis published by the National Bureau of Economic Research.

By the numbers: Researchers relied on data from the American Community Survey, an annual survey with some 4 million respondents, and matched that data with Census Bureau death records.

  • Before the expansion, people in the study's sample population died at about the same rate across different states. But a gap then emerged between expansion and nonexpansion states, the study says, once the expansion took effect. And that gap kept growing over time.

All told, expansion states saw a mortality rate that's about 0.2% lower than nonexpansion states, the authors write — which would translate to roughly 15,600 lives, had the expansion not been optional for states.

Go deeper ... Red states' Medicaid gamble: Paying more to cover fewer people

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Trump won't approve full federal funding for partial Medicaid expansion

President Trump and CMS administrator Seema Verma. Photo: Mark Wilson/Getty Images

The Trump administration made a very big decision over the weekend: It won't approve full federal funding for a partial Medicaid expansion.

Why it matters: The partial expansion had looked like a key weapon in red states' continued resistance to the ACA. Without it, Medicaid enrollment likely will keep growing.

Go deeperArrowJul 29, 2019

GOP governors have no post-ACA plans

Arizona Gov. Doug Ducey says his state will deal with the ACA rollback if it comes. Photo: Ralph Freso/Getty Images

Much like their counterparts in Congress, Republican governors are not prepared to deal with the fallout if they finally succeed in persuading the courts to throw out the entire Affordable Care Act.

The big picture: Blue states are somewhat more prepared, because they're more willing to pass their own versions of some of the ACA's coverage requirements, but it would still impossible for even the most motivated state to reconstitute the entire law.

Go deeperArrowJul 26, 2019

What Democrats are doing on health care

Illustration: Rebecca Zisser/Axios

As Democratic presidential candidates debate their ideal health care system, blue states are making incremental — yet significant — changes to the existing one.

Why it matters: In the states where they have power, Democrats are creating a blueprint for how the ACA could evolve under Democratic control in Washington.

Go deeperArrowJul 31, 2019