June 20, 2021 ~ TrialSite News ~

America Heads Toward Majority on Public Health as Socio-Economic Forces Converge with Pandemic

Apparently, the pandemic’s driven record enrollment of beneficiaries in Medicaid programs across the 50 states of the U.S.A. The national emergency led to a swelling of 80 million people, a historical high count for the public access program for the poor. In fact, a recent analysis by Kaiser Family Foundation reveals that the beneficiary count rose from 71.3 million in February 2020 to 80.5 million in January 2021. Back in 2013, that number was 56 million just as states were expanding Medicaid under the Affordable Care Act. The total beneficiary count in 2001 was 40 million. Medicaid now covers 1 in 4 Americans, making it a powerful force to be reckoned with for providers and drug producers. In states like New Mexico, 1 in 3 people depends on the program exhibiting American federalism, that is, the plan’s covered jointly by the financing of the federal government and each state, similar to welfare assistance programs. 43% of Americans count on either Medicaid or Medicare (the federal program for the elderly). TrialSite updates those interested in the evolving health payer/access environment. Medicaid patients can access clinical trials but there are rules.

Recently published by Kaiser Health Network (KHN), part of Kaiser Family Foundation (KFF), the growth in Medicaid to a great extent was due to the ACA passed during the Obama era. Since that time, over 36 states expanded Medicaid coverage to cover adults with incomes below 138% of the federal poverty line at $17,800. This number is misleading as in some parts of some states, such as California, double that salary would still keep a family in poverty. What states expanded the fastest?

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