Medicaid Expansion and Industry

The Medicaid expansion increases Medicaid coverage to individuals up to 133% of the Federal Poverty Line and includes groups of people not currently eligible (e.g., childless adults).  If the Medicaid expansion is maintained, it means that the Medicaid population nationwide will grow by an estimated 16 – 18 million people (approximately half of the number of people currently uninsured).  This will increase the number of people with access to prescription drugs, medical devices and other technologies.  However, given that Medicaid reimbursement rates vary from state-to-state and many states are facing fiscal challenges, many are concerned that Medicaid coverage will prove inadequate and may not increase access to care, therapies, and devices as much as is hoped.  If the Medicaid expansion is struck down and the individual mandate upheld, it is unclear where and how these individuals will secure health insurance coverage.  Some may seek coverage through the state exchanges but many not qualify for a federal subsidy since the ACA presupposed this group of individuals would be covered by Medicaid.

To read about what the Medicaid expansion means to patients and providers, click here.

This entry was posted in Health Care Reform, Supreme Court by Ilisa Halpern Paul. Bookmark the permalink.
Ilisa Halpern Paul

About Ilisa Halpern Paul

Ilisa Halpern Paul leads the District Policy Group and has more than 20 years of experience in government relations, advocacy, and policymaking in non-profit, academic, federally-funded, and government settings. Ilisa’s practice centers on advising clients with respect to advancing their federal legislative, regulatory and programmatic policy agendas. Ilisa works with clients to establish and strengthen relationships with elected officials and federal agencies, develop and implement government relations and advocacy programs, craft effective grassroots campaigns, establish coalitions and third-party stakeholder partnerships, and affect the outcomes of appropriations measures, authorizing legislation and federal regulatory actions. Ilisa is particularly skilled in creating innovative messaging, tactics, and materials in support of her clients’ policy goals. She helps her clients by bringing traditional and nontraditional partners to the table in support of common goals, fostering relationships with members of Congress and their staff, and collaborating with the administration and federal agencies. Ilisa frequently speaks at meetings and briefings providing political insight and analysis to help clients navigate the current policy environment. Ilisa previously served as director of federal government relations for the American Cancer Society and as director of federal affairs with the American Public Health Association. Ilisa worked on the legislative staff for U.S. Senator Dianne Feinstein (D-CA). She earned a bachelor’s degree in English at UCLA and a master's of public policy degree from Georgetown University's Public Policy Institute. Originally from California, Ilisa planned to become a doctor, but found her health care niche after doing a policy internship in D.C. Ilisa lives with her husband, Scott, and their twin boys in Silver Spring, Maryland, where she is currently learning to play the drums.

Leave a Reply

Your email address will not be published. Required fields are marked *

* Copy This Password *

* Type Or Paste Password Here *

You may use these HTML tags and attributes: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <strike> <strong>