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The Combined Effect of Not Expanding Medicaid and Losing Marketplace Assistance
As of April 2015, 21 states have chosen not to expand Medicaid eligibility under the Affordable Care Act. All but one of those states have also chosen to rely on federally facilitated marketplaces.
As of April 2015, 21 states have chosen not to expand Medicaid eligibility under the Affordable Care Act. All but one of those states have also chosen to rely on federally facilitated marketplaces.
If the Supreme Court finds for the plaintiff in King v. Burwell, the combined effect of not expanding Medicaid and losing federal support for marketplace coverage for the low-income population would be dramatic for the 20 states affected by both decisions.
In total, 9.8 million people would be uninsured who would have otherwise been insured. Assuming that marketplace financial assistance is not replaced and assuming those states do not choose to expand Medicaid, the total loss in federal spending from 2016 to 2025 would be $721 billion.
Read the full brief at the Urban Institute: http://urbn.is/1Jhwe0X
Health Care Utilization and Cost of Diagnostic Testing for Respiratory Infections
September 17th 2025Syndromic reverse transcriptase–polymerase chain reaction tests for respiratory infections were associated with lower health care resource utilization and costs, implicating potential for improved value in patient care.
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AI in Health Care: Balancing Governance, Innovation, and Trust
September 2nd 2025In this conversation with Reuben Daniel, associate vice president of artificial intelligence at UPMC Health Plan, we dive into how UPMC Health Plan builds trust with providers and members, discuss challenges of scaling AI effectively, and hear about concrete examples of AI's positive impact.
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Infertility Coverage Boosts ART Use and Pregnancy Success: Richard A. Brook, MS, MBA
August 26th 2025In this episode, Richard A. Brook, MS, MBA, discusses his study showing that infertility treatment coverage increases assisted reproductive technology (ART) use and improves pregnancy outcomes.
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