States are expanding their Medicaid programs and several states are turning to CMS for approval to do so in alternative ways. Although the United States Supreme Court and individual states have made decisions that are resistant to Medicaid expansion on a national level, CMS waivers have created an atmosphere in which millions of Americans still stand to gain from expansions of individual State Medicaid programs, even in states where the Patient Protection and Affordable Care Act expansion is unpopular. In this Wolters Kluwer article, Donna Fraiche discusses the impact of Medicaid expansion programs.
"The jury is still out on the actual impact or cost savings as a result of the alternative strategies to provide for coverage expansions. There is no question, however, that millions more Americans are covered under Medicaid in the 28 states and the District of Columbia that have either expanded traditional Medicaid or chosen an alternative strategy. As a result, the uninsured rate has dropped by 36 percent in expansion states versus 24 percent in other states." said Ms. Fraiche.