Transforming Health Care Through Evidence and Collaboration
Transforming Health Care Through Evidence and Collaboration

Medicaid Expansion Under the ACA: Early Takers, No Shows and Alternative Models

January 31, 2014 | 07:30 AM
08:45 AM ET

Since last fall, 25 states and the District of Columbia have been enrolling millions of newly eligible persons in Medicaid under the ACA's expansion provisions. The other 25 states have opted not to expand eligibility at this time. A handful of states are pursuing other expansion options, such as premium assistance models. As 2014 gets underway, there is considerable attention on understanding the experiences and impacts of these different paths.

This webinar brought together top researchers to discuss state plans for expansion and the latest evidence on the impact of their decisions, including:

  • how states that expanded eligibility prior to 2014 have fared, and what their experiences might mean for the ongoing expansion in other states
  • the financial implications for states declining expansion
  • alternative models currently being pursued in states like Arkansas and Iowa


Ben Sommers
Harvard School of Public Health
Sherry Glied
New York University
Robin Rudowitz
Kaiser Family Foundation

Presentation Slides

New Evidence on Medicaid and the ACA: Lessons from Early Expansion States
The Cost of Just Saying No: Implications of Not Expanding Medicaid
A Look at Alternative Models to Implement the ACA Medicaid Expansion

Additional Resources