Medicaid Expansion Has Enrolled Twice As Many Able-Bodied Adults as Projected


Medicaid expansion has enrolled twice as many able-bodied adults as what was originally projected, according to a report from the Foundation for Government Accountability.

The group has been tracking Obamacare’s Medicaid expansion since the program’s implementation and found that one year into expansion, states exceeded their projections by an average of 61 percent.

“By the end of 2016, states had enrolled more than twice as many able-bodied adults than they said would ever enroll,” the report states. “To date, more than 12.7 million able-bodied adults are now dependent on Medicaid as a result of 31 states’ decisions to expand Obamacare.”

As a result of higher than expected enrollment in Medicaid, resources are now being crowded out for the truly needy who can benefit from the program. The report finds that there are roughly 650,000 Americans who are on Medicaid waiting lists.


Because states that have expanded Medicaid underestimated potential enrollment, the report says it is likely that other states that haven’t expanded Medicaid yet would experience similar high rates of enrollment.

“States have already enrolled 55 percent more able-bodied adults than the Kaiser Family Foundation projected would sign up by 2022,” the report states.

Based on these projections, the study projects that 11.4 million more able-bodied adults would be dependent on Medicaid if the non-expansion states decided to expand. This additional expansion would also cost taxpayers more than $676 billion.

“Congress should repeal Obamacare expansion’s enhanced funding for all states including current expansion states,” the report states. “After all, every single dollar spent on Obamacare’s Medicaid expansion is a dollar that cannot be spent on the truly needy.”

Nicholas Horton, research director and author of the report, says that Obamacare’s expansion has trapped millions of able-bodied adults in welfare, wasted billions of taxpayer dollars, and put the truly needy at risk.

“States that have rejected expansion should be proud—they have saved themselves from this nightmare,” Horton said. “But states that did expand Obamacare have some work to do. They need pursue commonsense solutions to unwind this failed program, like work requirements and enrollment freezes, while Congress should immediately stop new expansions in order to reduce dependency and prioritize the truly needy.”


Sounds like our welfare system of late ! :roll_eyes:


Medicaid costs for expansion enrollees increased 20 percent after two and a half years, according to a report from Avalere Health.

In the first half of 2014, average monthly Medicaid costs totaled $324 for enrollees. After being enrolled for two and a half years, those monthly costs increased to $389—an increase of 20 percent.

“Health care spending for the Medicaid expansion population increased steadily over time for beneficiaries who remained enrolled in the program” the report states. “The enactment of the Affordable Care Act (ACA) provided states with the option of extending Medicaid eligibility status to childless adults aged 19-64 who earn less than 138 percent of poverty ($16,643 for an individual)—many of whom were previously uninsured.”

Over time, the analysis notes that younger, healthier enrollees tend to disenroll, while those who are in the program for longer are more likely those with chronic health problems.


“Contrary to some expectations that Medicaid expansion enrollees would be relatively healthy, beneficiaries who have remained on the program have increasing health care needs, likely due to previously unidentified or untreated conditions,” said Caroline Pearson, Avalere’s senior vice president. “Healthier, lower-cost enrollees may be more likely to churn off Medicaid after a shorter period of time.”

Costs for chronic care services, which include prescription drugs, increased over time in the first few months of coverage, while spending on emergency room visits and inpatient hospital care declined.

The analysis finds that expansion enrollees likely had significant medical needs when they enrolled due to the high rates of emergency room use and inpatient hospital care. Over time, the analysis finds that enrollees’ health care costs shift away from hospitalizations to prescription drugs and outpatient visits, which are more of a sign of chronic disease treatment.

“As new Medicaid beneficiaries gain a consistent and sustained source of insurance coverage, their spending patterns reflect improved care for chronic conditions and less need for acute hospitalizations,” said Michael Lutz, Avalere’s vice president. “This suggests that newly insured populations have underlying health needs but insurance coverage may help rationalize their health care spending in favor of longer-term, less costly treatments overall.”


Everyone in the United States already pays for Medicaid. It comes out of my check every 2 weeks 80 bucks. All that would need to be done for us to have universal healthcare is to extend who is covered by Medicaid. Currently it’s only children until age 18 and people 60+ So if we extend Medicaid coverage to those between 18-59 we now have universal healthcare we already all mandatorily pay for. If we need extra money to extend it we could put higher taxes on corporations. Rich people who make over $100,000 a year and lower the military expenditure which is insanely high.

In USA if you don’t have healthcare or money to cover a life threatening illness you die. Tell me how this is ethical?


Higher taxes on wealthy and corporations? Say goodbye to jobs as they all move to Mexico, China and India. Have you been living under a rock? Look at the economy. Trump has done an amazing job with his corporate tax cuts which have created tons of new jobs.

How about we stop giving money to other countries in the name of humanitarian aid? Most of it ends up in the hands of dictators or terrorists anyway. Also I don’t want to pay for blacks in the ghettos that don’t work to have healthcare.


Uhhh, actually in the real world you just use medicaid and go to the ER where you are treated, regardless of expense, regardless of you going there repeatedly because you ain’t gonna change fo’ no’ doktah.

Your 80/month is laughable- you’ll burn through five years of your ‘great contribution’ that the first time you have to get put back together after drunken misadventure.

If they somehow took 800 our of your pay each month, you would not be there yet, but at least you’d be closer.
The louder the calls for freebies, the less the callers pay in. You want a real eye opener- lookup how much CA pays for chemo for the medicaid class.


What’s taken from your paycheck is medicare.

Medicaid is an entitlement paid from the general fund.


That has not been true since 1986.

The Emergency Medical Treatment and Active Labor Act (EMTALA)[1] is an act of the United States Congress, passed in 1986 as part of the Consolidated Omnibus Budget Reconciliation Act (COBRA). It requires hospital Emergency Departments that accept payments from Medicare to provide an appropriate medical screening examination (MSE) to anyone seeking treatment for a medical condition, regardless of citizenship, legal status, or ability to pay. Participating hospitals may not transfer or discharge patients needing emergency treatment except with the informed consent or stabilization of the patient or when their condition requires transfer to a hospital better equipped to administer the treatment.

EMTALA applies to “participating hospitals.” The statute defines participating hospitals as those that accept payment from the Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS) under the Medicare program. “Because there are very few hospitals that do not accept Medicare, the law applies to nearly all hospitals.” The combined payments of Medicare and Medicaid, $602 billion in 2004, or roughly 44% of all medical expenditures in the U.S., make not participating in EMTALA impractical for nearly all hospitals. EMTALA’s provisions apply to all patients, not just to Medicare patients.


Ethics… now that is a concept worth discussion… but I don’t think that our governments formation was to provide everyone with everything nor do I believe in equal outcomes in life… It just doesn’t happen. I don’t see in your comments about just how many poor, tired and downtrodden we can take from around the world to pursue your concept of ethical… have you considered just how many it would take to overwhelm your budget?


The major problem with Medicaid is abuse . There are many that use the ER as though it was a public healthcare center and will make several visits a month with ZERO cost to them and there are NO checks to put an end to non- emergency visits . There needs to be a minimal charge to discourage this nonsense . Others use it as a means to get strong painkillers with NO checks on the number of times they get RX’s . It’s a broken system that is an endless money pit .


I’s not just medicaid but medicare, VA, any government run healthcare system.

The problem it’s administered by people and it’s not their money so they are not voted in finding and prosecuting fraud. Every insurance company has a fraud detection department and they prosecute even minor fraud.

Government depends on users to report suspected fraud. Users don’t care as thy get the healthcare and care less what it costs.


As far as the VA go’s those veterans paid their dues a hundred times over . I volunteered at a VA hospital for about a year and believe me most are in very bad shape both mentally and physically . They paid for every bit of care they receive and their care is much worst than those on Medicaid by leaps and bounds ! :disappointed:


he trans deserve the best car in the country instead they get the VA hospital fiasco in Aurora, Co. 1.7 billion, original cost 470K with fewer treatment rooms than the current VA hospital.
2 years late and a complete cluster. Typical Government in action.


$553,453,647,756 spent on Medicaid in 2016
$60,600,550 spent on veterans care in 2016


1 in 7 are on medicaid in Colorado costing he state 42% of government spending expecting to rise to 45% by 2020.