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View Diary: The Urban Institute's critical study on the 'cost' of Medicaid expansion (7 comments)

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    ChiTownDenny, ExStr8, Lujane

    that ~5% is from Table 1, which is basically useless because it compares a scenario without ACA to a scenario with ACA and with Medicaid expansion.

    Table 2 compares better scenarios. It shows a scenario with ACA but no Medicaid expansion and a scenario with ACA and with Medicaid expansion. This is the decision before the states: either expand Medicaid or don't. They have no real say on ACA. So the incremental impact of Medicaid expansion is 1.7% of the budget. When you look at Table 4 and include the $953 million in savings in uncompensated care, Illinois has a net incremental cost of $1.26 billion over 10 years, or 1.0% of the 2022 budget. Table 3 shows 408 thousand additional people insured by the Medicaid expansion in Illinois.

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