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Newsletter Article


Unintended Results: 1115 Waiver Alternatives to Traditional Medicaid Expansion

In a Commonwealth Fund–supported study in Health Affairs, Benjamin Sommers, M.D., and colleagues at the Harvard T. H. Chan School of Public Health surveyed low-income adults in three Midwestern states with different Medicaid policies: Indiana, which used a waiver to expand Medicaid and introduced health savings accounts; Ohio, which expanded eligibility for traditional Medicaid; and Kansas, which has not expanded Medicaid but is considering doing so with work requirements. The researchers find that health savings accounts and work requirements may not produce the results that state policymakers are aiming for.

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