tag:blogger.com,1999:blog-8512362.post8525883785434628674..comments2024-03-10T13:59:19.230-04:00Comments on xpostfactoid: ACA in Mississippi: Low incomes, high silver selection, high attrition -- and no MedicaidAndrew Sprunghttp://www.blogger.com/profile/17601269968798865106noreply@blogger.comBlogger1125tag:blogger.com,1999:blog-8512362.post-34395378658511786002015-07-06T16:31:13.552-04:002015-07-06T16:31:13.552-04:00This observation in some ways validates the Medic...This observation in some ways validates the Medicaid/ Health Exchanges dual system in the ACA. The Health Exchanges may not be best way of providing health insurance to the very low income working poor after all. <br /><br />I am guessing that the higher attrition is due to the fact that the incomes of the working poor in Mississippi are very volatile.<br /><br />This means that poor states ( like Mississippi) need Medicaid even more than rich states ( like New York , California or Massachusetts). The irony is that it is the poor states that are least willing to expand Medicaid. <br /><br />I wonder whether a shift to full permanent federal financing for Medicaid may:<br /> (i) help reduce the resistance of poor states to an expanded Medicaid; and <br /> (ii) eliminate the tendency of other states to cut Medicaid funding during economy downturns (exactly the time when its needed the most).<br /><br />Lanshttps://www.blogger.com/profile/09888547524720959796noreply@blogger.com