Alan Weil, executive director of the National Academy of State Health Policy, used an analogy that any bargain-conscious New York shopper could grasp to describe how states may view Medicaid expansion under health reform.
Medicaid is jointly financed by states and federal spending, and this year's reform law will expand the safety-net insurer's eligibility, beginning in 2014.
Speaking in Washington about the release of estimates that states will bear a fraction of the cost of the cost of expanded Medicaid enrollment (conservatively $21.1 billion of an overall $464.7 billion to cover 15.9 million people through 2019), Weil used deeply discounted shoes to explain, in part, why states haven't roughly applauded reform.
“I'm often asked if the Medicaid expansion is a good deal for states and I give people the image of walking into a shoe store and seeing a $200 pair of shoes on sale for $20,” he said. “Is that a good deal? Well, if you like the $200 pair of shoes, it's a great deal because you only have to pay 20. If you look in your wallet, and you see a 10 and a couple of ones and you've got some change in the bottom of your pocket and you're not sure you can come up with the $20 it doesn't really matter what a good deal it is.” Read more at Melanie Evans' Of Interest blog. »