Missouri State of Mind passes along a very interesting policy brief concerning the fate of Medicaid expansion in Kansas:
I commend to all of you Jagadeesh Gokhale’s policy brief “Should Kansas Expand Medicaid Under the Affordable Care Act? A Perspective on Weighing the Costs and Benefits.” The most interesting part of his paper is where he compares current and projected Kansas adult Medicaid enrollment for what he calls old-law eligibles and the newly eligible. Along the way, he notes that “[e]stimates for the number of currently eligible but not Medicaid-enrolled individuals range from 20,000 to 162,000 [citations omitted]” — a number that could actually exceed the estimates for potential new Kansas Medicaid enrollment from Medicaid expansion.
The astonishing fact is that currently Medicaid eligible adults in Kansas have a take up rate of roughly 50-60 percent. Once you compare that with Medicaid take up rates that exceed 70 or 80 percent in a state like Massachusetts,
Most of the states that expanded Medicaid without gnashing of their teeth and rending of garmets had reasonably high proportion of adults who were eligible for old Medicaid enrolled. Most of the states that have turned down free federal money had relatively low proportion of residents who were eligible enrolled in old Medicaid. Furthermore, the non-expansion states tend to have tighter restrictions on old Medicaid eligibility in general.
Everyone is anticipating that old-law enrollment percentages will go up because more people are aware of the law and are shocked when they are told that they are poor and qualify for assistance. However the states that are not expanding are counting on fewere people in general hitting healthcare.gov for the Exchange plans, and they are definately not doing any outreach. So they get to fuck over the extraordinarily destitute who were eligible but not enrolled in old Medicaid as well as the working poor who would otherwise be eligible for Expanded Medicaid.
Fuck you very much Chief Justice Roberts et al.