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South Carolina’s View: The Affordable Care Act’s Medicaid Expansion Is The Wrong Approach


September 6th, 2012

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 […]

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South Carolina: Explaining A Finding Against A State-Based Exchange


April 20th, 2012

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 […]

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The ACA Threatens Access To Care For Medicaid Patients


November 14th, 2011

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 […]

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