Full Citation
Title: Medicaid in Alaska Under the ACA
Citation Type: Miscellaneous
Publication Year: 2013
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Abstract: Using the three years of Alaskans in the American Community Survey integrated with the Urban Institute’s Health Insurance Policy Simulation Model (HIPSM), we estimated Medicaid/CHIP enrollment and costs under the ACA with and without an expansion of eligibility to 138 percent of the FPL. Comparing the two options— • Medicaid enrollment. In 2020, 172,900 nonelderly Alaskans would be enrolled in Medicaid with the expansion and 133,500 without it, a 30 percent increase. • State costs. In 2020—the first year in which the state would pay 10 percent of the costs of those made eligible by the Medicaid expansion—the state would spend $25 million more with the expansion than without it. Due to the low state contribution for the newlyeligible, this 3.7 percent increase in spending on the nonelderly is sufficient to support the 30 percent increase in enrollment. • Federal and state spending. From 2014 to 2020, there would be $1.1 billion more federal spending and $78 million more state spending on Medicaid in Alaska with the expansion than without it. These represent increases in Medicaid spending for the nonelderly of 18.5 percent and 1.9 percent respectively. • The uninsured. The ACA would reduce the uninsured rate in Alaska from 21% without the ACA to 10% under the ACA if the state participates in the Medicaid expansion, or 15% under the ACA without the expansion. • The report also includes a sensitivity analysis of Medicaid take-up rates, detailed characteristics of ACA Medicaid enrollees and their geographic distribution among five sub-state areas. • This report does not estimate offsetting savings to the state from sources such as reduced uncompensated care provided to the uninsured.
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Authors: Buettgens, Matthew; Hildebrand, Christopher
Publisher: Health Policy Center The Urban Institute
Data Collections: IPUMS USA
Topics: Aging and Retirement
Countries: United States