Quick Medicaid hits

  • The North Carolina General Assembly voted to reject the Medicaid expansion and to not do a State expansion.
  • If you read this blog and/or follow me on twitter, you know that I think they will reverse course on this. The decision of Republican Governors in Florida and yesterday Chris Christie is greatly dampening the national ‘anti Obamacare’ sentiment. For N.C., the decision of Republicans in neighboring states will be key. Virginia looks set to undertake a ‘reform and expand’ approach. If Tennessee moves ahead next week that will add pressure. If South Carolina reverses and does so (rumors of the Hospitals funding the state portion abound) it will greatly hasten things politically in North Carolina. The short version is that many in North Carolina are quite vested in the idea that ‘we are different’ from other Southern states. On Medicaid expansion, we may actually start to be on the wrong side the ‘different’ question, and this intangible, political factor shouldn’t be underestimated.
  • Arkansas has gotten approval to expand Medicaid via a private insurance option. I don’t understand all the details, but this demonstrates the leverage that states have to try new things via the Medicaid expansion. Our state seems to be the last to know.

About Don Taylor
Professor of Public Policy (with appointments in Business, Nursing, Community and Family Medicine, and the Duke Clinical Research Institute), and Chair of the Academic Council at Duke University https://academiccouncil.duke.edu/ . I am one of the founding faculty of the Margolis Center for Health Policy. My research focuses on improving care for persons who are dying, and I am co-PI of a CMMI award in Community Based Palliative Care. I teach both undergrads and grad students at Duke. On twitter @donaldhtaylorjr

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