Publications | The Perryman Group
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Economic Benefits of Expanding Health Insurance Coverage in Texas
Report Published on March 29, 2019

Texas is one of only 14 states choosing not to expand health insurance coverage to low-income adults using the financially attractive mechanism created with passage of the Affordable Care Act (ACA) in 2010. Almost 1.5 million Texans would immediately become eligible for expanded coverage, according to analysis by the Kaiser Family Foundation.

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Toward a "Texas Solution": Texas Should Provide Insurance Coverage for the Expanded Medicaid Population Under the Affordable Care Act
Report Published on March 14, 2013

An exchange is a private-market solution where competition among insurance providers will stimulate innovation and cost reduction measures while avoiding some of the flaws of the Medicaid program. Utilizing the Federal funds designated for Medicaid expansion under the ACA to provide private insurance coverage for the newly Medicaid-eligible population through such an exchange would increase the economic benefits to the state by both decreasing the administrative costs to the state and increasing the potential gains.

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Only One Rational Choice: Texas Should Participate in Medicaid Expansion Under the Affordable Care Act
Report Published on February 13, 2013

According to an analysis by The Perryman Group, every $1 spent by the State of Texas to expand Medicaid coverage under the Affordable Care Act (ACA) returns $1.29 in dynamic State government revenue over the first 10 years of the expansion. Medicaid expenditures lead to substantial economic activity, federal funds inflow, reduction in costs for uncompensated care and insurance, and enhanced productivity from a healthier population. When these outcomes and the related multiplier effects are considered, the program actually far more than pays for itself and provides a notable economic stimulus.

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It Just Makes Sense: Economic and Fiscal Benefits to Texas of Accessing Additional Federal Funds for Health Insurance Expansion
Newsletter Published on January 15, 2021 (Vol. 38, No. 01)

The Perryman Group recently estimated economic and fiscal effects of accessing the available federal funds to allow expanded health insurance coverage in Texas. This issue of The Perryman Report & Texas Letter summarizes results of the analysis. The full report, hosted at www.perrymangroup.com, includes additional detail as well as effects by industry. The research was funded by the Episcopal Health Foundation and St. David's Foundation.