Brief The Cost of Not Expanding Medicaid: An Updated Analysis
Stan Dorn, Matthew Buettgens
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The 19 states that have not yet expanded Medicaid could reduce the number of uninsured by 4.3 million to 5.2 million people while claiming $7.14-$7.75 in federal dollars for each state dollar invested to finance expansion. Expanding Medicaid in these states would increase federal funding by $595.8 billion to $664.8 billion from 2018-2027, while raising state Medicaid costs by $82.5 billion to $90.8 billion. Residents would save between $84.1 billion and $90.7 billion.. Each comprehensive review in expansion states has found that expansion improved state budget balances, with savings and revenue from expansion exceeding the cost of higher enrollment.
Research Areas Health and health care
Tags Federal health care reform Medicaid and the Children’s Health Insurance Program 
Policy Centers Health Policy Center