Obamacare is going to significantly cut the number of people without health insurance in big cities—but much more so in states that are loosening Medicaid eligibility rules, according to a new study
Cities in states that are expanding Medicaid will also get billions of dollars more in federal spending than their counterparts in nonexpansion states, the study released Thursday by the Urban Institute and the Robert Wood Johnson Foundation noted.
Seven large, diverse cities whose states are expanding Medicaid eligibility are projected to see an average decrease of 57 percent in their overall uninsured rates by 2016, according to the study.
But in seven other big cities, whose states didn't expand eligibility in government-run Medicaid to include nearly all poor adults, the average decrease in the uninsured will be just 30 percent, the research found.
"In states that took advantage of the Affordable Care Act Medicaid expansion, cities saw a dramatic drop in the number of uninsured," said Dr. John Lumpkin, senior vice president at the Robert Wood Johnson Foundation. "Medicaid expansion helped those who needed it the most, low- and moderate-income people.