Unlike states that enrolled the expansion population into existing Medicaid programs, Arkansas chose to do it differently. The state used its expansion dollars to buy private insurance for the uninsured Arkansas population.
It provided health insurance to over 250,000 uninsured people making less than 138% of the poverty line, currently $34,307 a year for a household of three.But unlike states that enrolled the expansion population into existing Medicaid programs, Arkansas chose to do it differently. The state used its expansion dollars to buy private insurance for the uninsured Arkansas population.
“By putting that guarantee purchaser in the individual market, we really stabilized our individual market,” he said. “And I think many times many key decisions are made in isolation without recognizing how they can, if used intentionally to stabilize your hospital system, increase the competition on your marketplace.”
“But what the health care providers then have to do is they have to ask for higher reimbursement of their commercially insured people to offset the losses they have on their uninsured people,” Thompson said.by Sarah Miller found that mortality rates in states that chose to expand and those that did not were similar before the implementation of the ACA expansions.
Both groups had similar geographic access to providers and network of providers, but enrollees in the private option felt that they had better access to care than Medicaid enrollees.
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