Health Affairs

Editor’s note: See Maryland Medicaid director Charles Milligan’s earlier Health Affairs Blog post for a different view of the ACA’s Medicaid expansion. This year more than 1.1 million people will enroll in South Carolina Medicaid — almost one-quarter of our population — at a total cost of $5.95 billion. According to a recent study published... Read the rest of this entry »

This past November a committee created under executive order by South Carolina Governor Nikki R. Haley recommended rejecting a state-based health insurance exchange as currently defined by the Patient Protection and Affordable Care Act.  After months of review, we determined that states have little meaningful flexibility under the Obama administration’s concept of “state-based”; that state-based... Read the rest of this entry »

It was recently reported that a study in the Annals of Internal Medicine found, contrary to expectations, that demands on safety-net providers in Massachusetts have actually increased as a result of moving to a full coverage model.  While the study concludes that patients choose to use safety-net providers because of affordability and convenience, the underlying... Read the rest of this entry »