Toward a "Texas Solution": Texas Should Provide Insurance Coverage for the Expanded Medicaid Population Under the Affordable Care Act
Report Published on March 14, 2013An 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.
- Tags:
- Medicaid,
- healthcare
Only One Rational Choice: Texas Should Participate in Medicaid Expansion Under the Affordable Care Act
Report Published on February 13, 2013According 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.
- Tags:
- Medicaid,
- healthcare
The High Cost of Millions of Americans Losing Health Insurance Coverage
Brief Published on May 29, 2025The current federal budget bill, which was recently passed by the House of Representatives, if ultimately implemented in its present form, involves changes to Medicaid which will have the effect of significantly reducing the numbers of people covered over time. The Congressional Budget Office estimates that by 2034, some 7.6 million more Americans would be uninsured due to the provisions of the Act.
- Tags:
- Medicaid,
- health care,
- insurance
The High Cost of Millions of Texans Losing Health Insurance Coverage
Brief Published on April 24, 2024Since the expiration of COVID-19-related provisions requiring states to keep residents enrolled in Medicaid, an estimated 2.1 million Texans have lost their coverage. Texas has by far the highest number of uninsured in the country and has removed significantly more individuals from coverage than any other state.
- Tags:
- Medicaid,
- healthcare,
- insurance
An Open Letter to Elected Officials, Leaders, Professionals, and Others Interested in Health Care in Texas
Press Release Released on November 09, 2020The pandemic and resulting economic dislocations are creating significant fiscal challenges for the State and local governments. In particular, the budgetary process in the upcoming legislative session will be daunting.
- Tags:
- Medicaid,
- Texas,
- healthcare
Harming Health Hurts
Column Published in syndication June 04, 2025Medicaid allows some of the nation's most vulnerable residents to obtain needed health care, thus improving the lives of individuals and families. Without insurance coverage, many people will postpone needed appointments or even forego essential treatments. The inevitable result is worse health outcomes and even higher death rates as manageable problems escalate. Empirical evidence suggests that increasing Medicaid coverage improves health and reduces mortality rates. In fact, life expectancy is extended by more than a year for those with coverage.
- Tags:
- Medicaid
A Perilous Purge
Column Published in syndication April 24, 2024Since the expiration of COVID-19-related provisions requiring states to keep residents enrolled in Medicaid, an estimated 2.1 million Texans have lost their coverage. Texas has by far the highest number of uninsured in the country and has removed significantly more individuals from coverage than any other state.
- Tags:
- Medicaid,
- Texas,
- healthcare