Medicaid Expansion Five Years Later – The Strategic Implications

Yesterday, I wrote about the status of the three states—Idaho, Nebraska, and Utah—implementing Medicaid expansion after a voter referendum in November 2018. The takeaway was that each state is pursuing alternative models that put more burden on consumers and provider organizations (see To Expand Or Not Expand - The Medicaid Question). Even more than five (!) years out from the original start date of Medicaid expansion, the implications of expanding, or not expanding, have effects on provider organization strategy.

First, although the choice to expand Medicaid coverage across states is largely a political one, I think its important to point . . .