Regarding the Jan. 27 news article “Report weighs benefit, cost of expanding Medicaid”: This report is a thorough and thoughtful economic analysis from the Health Law and Policy Program at Wake Forest University and is essential reading for everyone with an interest in Medicaid and health care in North Carolina.
The report is based on numerous economic projections for Medicaid expansion, as well as on results in states that have already expanded. It concludes that the cost of our eventual 10 percent share of expanded Medicaid is nearly offset by financial benefits from expansion.
As the report says, “... every comprehensive financial analysis that has been done has concluded that expansion will not cost the state any substantial amount.” This report persuasively refutes remaining economic objections to expanding Medicaid, including “maintenance of effort” concerns.
Therefore, it is now time for Gov. Pat McCrory and our legislative leaders to develop a North Carolina plan for expanding Medicaid. Such a plan would likely influence Centers for Medicare & Medicaid Services toward approval of our recent Medicaid reform proposal and finally make health care coverage available to the 300,000 to 500,000 mostly working North Carolinians currently left out.