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August 2019

Cone Health Foundation and Kate B. Reynolds Charitable Trust (Greensboro, NC)

Expanding Medicaid would create more than 37,000 new jobs and insure approximately 365,000 more people, according to a new non-partisan analysis. The report was prepared by researchers at The George Washington University with funding from Cone Health Foundation and the Kate B. Reynolds Charitable Trust.

In addition to the new jobs created and the hundreds of thousands of uninsured residents gaining coverage, the researchers estimate that the state would increase its business activity by $11.7 billion in just three years, between 2020-2022. It is money that could be spent on education, infrastructure, and other needs.

The analysis updates a 2014 report, providing a county-by-county look at the number of jobs, new Medicaid enrollees and economic growth that would result from the state expanding Medicaid. With nearly one in six non-elderly adults in North Carolina uninsured (16 percent)—a rate that is above the national average (12 percent)—every county, urban or rural, stands to benefit.

North Carolina remains one of 14 states yet to expand Medicaid under the Affordable Care Act, and according to experts at The George Washington University, Medicaid eligibility requirements in North Carolina are the ninth most restrictive in the country. As a result, nearly 1 million North Carolinians between the ages of 19 and 64 are uninsured.

To read the full analysis and get the statistics for your county, click here.

Contact: Frank Walsh
Phone: 202.868.4820

Episcopal Health Foundation (Austin, TX)

Texans say health care is the toughest living expense for them to afford. More than half (55 percent) of Texans say it’s difficult for them to pay for health care, including more than a quarter (27 percent) who say it’s “very difficult.” Those are some of the findings from a statewide Episcopal Health Foundation poll on affordability and access to health care in Texas. 

Contact: Brian Sasser
Phone: 832.795.9404

Montana Healthcare Foundation (Bozeman, MT)

The Montana Healthcare Foundation partnered with MT DPHHS and commissioned the Corporation for Supportive Housing to complete two new reports. These reports focus on Montana’s Medicaid program and recommend ways to strengthen the state’s benefit package as it relates to homelessness, detailing the business case for doing so.


To read Montana Medicaid Supportive Housing Services Crosswalk and The Montana Business Case for a Supportive Housing Benefit, click here.


RCHN Community Health Foundation (New York, NY)

A new policy brief by the Geiger Gibson/RCHN Community Health Foundation Research Collaborative at the Milken Institute School of Public Health presents an analysis of the potential far-reaching consequences of approved §1115 Medicaid work experiment programs on community health centers and the patients they serve in seven states. Building on estimates of coverage losses among Medicaid beneficiaries subject to work experiments, the new brief presents estimates of the potential impact of Medicaid work experiments on beneficiaries who are patients of health centers, and ultimately, the implications for health centers and the wider communities they serve. It offers first-time estimates of the impact of Medicaid work experiments on community health center patients, revenue, and staffing in Arizona, Indiana, Ohio and Michigan, as well as updated estimates for Arkansas; it also includes estimates reported earlier for both Kentucky and New Hampshire.

Authors estimate that 120,000 to 169,000 adult Medicaid health center patients in these states are at risk of losing coverage. As a result of declining Medicaid coverage, health centers would experience a deep reduction in Medicaid revenue, ranging from 1 percent of total revenue to 10 percent, or an estimated $89 million to $125 million in patient care revenue across all seven states. They would be forced to reduce staff by 815 to 1,145 full-time staff members, and would serve fewer patients. Overall, it is expected that 104,000 to 147,000 health center patients in these states could lose access to care.

Just as the expansion of health insurance led to overall community and system-wide economic benefits, coverage losses can lead to system-wide reductions in services and access that adversely impact care for all. The widespread adoption of Medicaid work requirements would thus have substantial and long-term spillover effects, dramatically increasing the number of people who are uninsured and substantially reducing health center revenue and threatening access to care across entire communities.

To access the policy brief, click here.

Contact: Feygele Jacobs
Phone: 212.246.1122