How Medicaid Expansion is Reshaping Healthcare in the United States

Introduction:

Although Medicaid is a federal statute for the health insurance of the needy and low income earners, its expansions have been influenced by the ACA signed in 2010. Law by law, act by act, one of the main features of ACA was an extension of medicaid through which it was planned to bring affordable health for millions of Americans. This effort has dramatically affected healthcare delivery and funding system throughout the United States in many areas of practice. So in this article, we will be looking at the evolution, advantages, limitations and future with regard to Medicaid expansion.

The Basics of Medicaid and its Expansion

Medicaid was signed into law in 1965 to address the health needs of the poor needy persons including families; pregnant women; children; and the disabled among others. Previous to the ACA, Medicaid enrollment depended upon the state of residence and was limited to certain categories. Most of the low income earning adults who had no dependent children were neglected.

Thus, to reduce these gaps, the ACA permitted States to expand Medicaid to all Americans earning up to 138% of the federal poverty level (FPL). To many, for context, this is about $20,120 per year to an individual in the year 2023.” During expansion, the federal government was fully funding the program, but over time, contributed only 90% of the costs while states bearing the rest 10%.

Medicaid expansion was proposed for a national implementation but, in 2012 the Supreme Court severed it down to state implementation making the program have an inconsistent adoption across the United States.

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