The Promise and Pitfalls of Alternative State Approaches to Medicaid Reform

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<p style="text-align: justify;">Six states have expanded eligibility for their Medicaid programs using alternative approaches known as Section 1115 demonstration waivers. One other state is considering this route. These waivers have allowed states to enroll beneficiaries in plans sold in the Affordable Care Act’s marketplaces rather than in traditional Medicaid plans, among other changes.</p><p style="text-align: justify;">In a new blog post, Sara Rosenbaum and colleagues at the George Washington University’s Milken Institute School of Public Health explain that both the promise and limits of this waiver program are now coming to light. Some states’ proposals that restrict eligibility or coverage, the authors say, will likely need to be left to Congress to resolve legislatively.</p> Read the post