The “premium assistance” model is easier to swallow for governors worried about public dependence on government programs or increased liability from larger Medicaid rolls.
By Arkansas’ estimates, the voucher-esque plan insures 500,000 more people via the health insurance exchanges and shrinks traditional Medicaid enrollment. Some critics question the affordability of such a program, as private insurance is more expensive than government plans, and that could make it funding the subsidies appealing in an era of political penny pinching.
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