Enrollment in state-optional Medicaid expansions has significantly exceeded even the most optimistic forecasts. The open-ended federal financing of new adult Medicaid enrollees at elevated match rates — in excess of 90 percent — creates incentives for states and healthcare providers to...

Before the Affordable Care Act (ACA), the federal government provided states with an open-ended reimbursement of at least half of each state s Medicaid expenditures. Because of the federal reimbursement, both state Medicaid spending and federal spending (through the reimbursement) have increased...

The ACA significantly altered the rules governing the individual insurance market, and the general effect was to lower premiums for older and less healthy people and raise premiums for younger and healthier people. To induce younger and healthier people to enroll, the law contained the...

When the Patient Protection and Affordable Care Act (ACA) was signed into law in 2010, many groups projected how many people would enroll in health insurance plans satisfying the law s new rules and requirements (ACA plans). Nearly six years later, enrollment in health insurance exchange plans...

The Affordable Care Act (ACA) placed numerous requirements on insurance offered in both the individual and small group markets. This study presents data from the 174 insurers that offered qualified health plans (QHPs) plans that satisfy the ACA requirements and are certified to be sold on...