ACA is more costly to taxpayers than Medicaid

Steve Haner's Medicaid Can Cost Taxpayers Less than ACA Plans on Bacon's Rebellion is a good read. It begins:
One of the interesting tidbits gleaned from a presentation last week on the Medicaid expansion debate was that with expansion perhaps 60,000 Virginians now enrolled in Affordable Care Act Public Exchange plans will qualify for and switch over to Medicaid.

People who have low-enough incomes to qualify for Medicaid are also eligible for subsidies for an ACA exchange plan, so both programs are costing the taxpayers. A recent report indicated Medicaid is actually costing taxpayers less than ACA plans for that population.

UnitedHealthcare Group's report noted – not a surprise – that Public Exchange coverage has proven to be more costly and less sustainable than envisioned (or promised). Since 2014 – the first year of Public Exchange coverage – the average annual unsubsidized premium for a benchmark silver plan has increased 88 percent for a 27-year-old and 76 percent for a 40-year-old.

Haner goes on to explain more about Medicaid versus the ACA for thousands of Virginia residents. And Haner and readers go back and forth (a little) about the topic in the comments. They are definitely worth reading.

Chart: UnitedHealthcare Group, Public Exchange Coverage is More Costly and Less Effective than Medicaid (PDF)



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