From Health Affairs Today <[email protected]>
Subject ACA Marketplace Enrollment & Medicaid Expansion
Date November 12, 2021 9:07 PM
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Podcast: Public Health In The Off-Year Elections
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The Latest Research, Commentary, And News From Health Affairs

Friday, November 12, 2021

Dear John,

Two papers in the November issue dive into issues related to the
Affordable Care Act.

ACA Marketplaces & Medicaid Expansion

The economic shock of the COVID-19 pandemic led to job losses and people
moving into the Affordable Care Act Marketplaces. In one paper in the
November issue, John Hsu and coauthors analyzed the relationship between
state policies and the number and risk profile of these new enrollees
.

They found both larger increases in Marketplace enrollment in states
that did not expand Medicaid and more higher-cost enrollees joining
Marketplaces in states with narrower enrollment criteria.

"The state-based Marketplace states experienced favorable selection
into the Marketplaces," the authors concluded.

In another paper, Casey Balio and coauthors estimated the effects of
Medicaid expansions

on administrative spending incurred by states since the initial
expansions in January 2014.

They found "modest evidence suggesting that states with large
expansions saw reductions in administrative costs after expansion
relative to nonexpansion states, whereas states with small expansions
incurred increases in administrative costs after expansion."  

Today on Health Affairs Blog, George Maliha and coauthors argue that
health care systems should reinvest in nonemergency medical
transportation

programs to serve as an analogue to telehealth.

Katie Keith discusses the November 9 announcement of a new 60-day
comment period

to solicit input on Georgia's waiver under Section 1332 of the
Affordable Care Act.

Listen to our latest podcasts .
On today's episode of This Week, Jessica Bylander and Jeff Byers
review some of the state public health ballot amendments
from
the recent off-year elections.

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Your Daily Digest

Growth In ACA-Compliant Marketplace Enrollment And Spending Risk Changes
During The COVID-19 Pandemic

John Hsu et al.

Many States Were Able To Expand Medicaid Without Increasing
Administrative Spending

Casey P. Balio et al.

Minding The Access Gap: Addressing Both The Digital And Transportation
Divides To Improve Outcomes

George Maliha et al.

CMS Announces 60-Day Comment Period On Georgia's Section 1332 Waiver

Katie Keith

Podcast: Public Health In The Off-Year Election Wrap Up

Jessica Bylander and Jeff Byers

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Health Affairs Deputy Editor

**Rob Lott**hosts

**Maninder Kahlon**of the

****University of Texas at Austin's Dell Medical School for a
conversation about the latest trends in health system transformation,
with a particular focus on addressing the social determinants of health.
The discussion will feature highlights from Leading To Health, Health
Affairs' ongoing project on health system transformation, and novel
approaches currently being tested by Kahlon and colleagues at Factor
Health.

**Date:    Tuesday, November 16, 2021**

**Time:    1:00 p.m. - 2:00 p.m. (ET)**

**Place:   Online details will be shared with registrants 24 hours in
advance of the event**

Please direct questions to Debbie Boylan, [email protected]
.

Register Here

 

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Public Health In The Off-Year Election Wrap Up

Listen to Health Affairs' Jessica Bylander and Jeff Byers review some of
the state public health ballot amendments from the recent off-year
elections.

Listen Here

 

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