Publications | The Perryman Group
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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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The High Economic Cost of Texans Losing Health Insurance
Brief Published on July 28, 2023

During the COVID-19 pandemic, part of the federal health emergency regulations prohibited ending Medicaid coverage for individuals. With the end of the emergency, the rules for eligibility for Medicaid in Texas have reverted to those in effect prior to the pandemic.

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An Open Letter to Elected Officials, Leaders, Professionals, and Others Interested in Health Care in Texas
Press Release Released on November 09, 2020

The 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.