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February 17, 1989, Vol 261, No. 7 >
ARTICLE | February 17, 1989

Including the Poor: The Fiscal Impacts of Medicaid Expansion

Kenneth E. Thorpe, PhD; Joanna E. Siegel, RN, SM; Theresa Dailey
JAMA. 1989;261(7):1003-1007. doi:10.1001/jama.1989.03420070053029.
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This article presents the fiscal impacts of the comprehensive reform of the Medicaid program put forth by the Health Policy Agenda for the American People. Proposed reforms include establishment of improved uniform eligibility standards, improvement in the scope and depth of coverage in state Medicaid programs, and increased provider payment rates. We estimate that expanding Medicaid coverage to all currently uninsured nonelderly persons below the federal poverty line would cost approximately $9 billion. A substantial portion of these costs would offset current spending elsewhere in the health care system. Improvement of state packages and increased provider payment could result in sharp increases in costs. We provide a range of estimates considering both the set of benefits provided and the behavior of the private insurance market.

(JAMA. 1989;261:1003-1007)

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