Research

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Medicaid Reform that Works for Patients, Providers, and Taxpayers Alike North Carolina's most vulnerable Medicaid patients deserve a health care safety net that meets their needs and move them from sickness to health. North Carolina taxpayers deserve peace of mind their sacrifices to fund that safety net are not being squandered on a failing program that cannot meet its purpose....[ read more ]

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Which is right for your state? Reforming Old Medicaid is a daunting task. It requires intense negotiations with legislators, executive branch officials, and special interest stakeholders. Assuming the reform survives the state legislative process, a new battle begins that is just as intense—negotiating those reforms with the federal government. Using a traditional Medicaid waiver, this negotiation process can take months—if...[ read more ]

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Other states' experiences with expanding Medicaid reveal the likely impact on Florida EXECUTIVE SUMMARY Supporters of the Affordable Care Act's optional Medicaid expansion have made a series of promises to Florida lawmakers as they decide if the government health program should include parents and childless adults earning up to 138 percent of the federal poverty level. These promises include a...[ read more ]

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Major differences in cost and enrollment projections make Medicaid expansion a giant unknown for Florida EXECUTIVE SUMMARY As a result of the U.S. Supreme Court decision upholding the federal Affordable Care Act, Florida policymakers are forced to decide whether or not they should expand the state's Medicaid program to cover individuals earning up to 138 percent of the federal poverty...[ read more ]

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The latest Fiscal Survey of the States shows that while fiscal and economic recovery in the states is slow, state Medicaid spending is speeding up. Florida has found a better way—a pro-patient, pro-taxpayer Medicaid Reform Pilot that, if embraced nationwide, could yield up to $64 billion in combined annual savings. Assuming historical spending trends, these Medicaid savings to taxpayers could...[ read more ]

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During its five years of operations, Florida's Medicaid Reform Pilot has been a decided success. It has improved the health of enrolled patients, achieved high patient satisfaction, and kept cost increases below average, saving Florida up to $118 million annually. Since then, Florida has passed its Statewide Reform, which promises to extend these benefits throughout the state, build on the...[ read more ]

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Abstract: This spring, after living under the costly failures of Obamacare-like health care legislation for two decades, the Maine Legislature enacted a set of patient-centered, market-based health care reforms. The Maine experience is both a warning of Obamacare’s likely effects and a practical demonstration to other states of how to enact sound free-market health care reforms in spite of Obamacare....[ read more ]