A series of articles based on research conducted by graduate students and professors at Harvard School of Public Health analyzed certain volatile aspects of the Affordable Care Act (ACA) in the Jan. 6, 2014, edition of the journal Health Affairs.
The researchers found that there is a very small potential for migration of low-income people from states that opted out of the ACA to states that offer an expansion of Medicaid benefits. Arizona, Maine, Massachusetts, and New York had expanded Medicaid benefits as much as two years prior to the implementation of the ACA and none of these states experienced a substantial increase in low-income people migrating for health care.
While the present deadline for enrollment in the ACA has passed, the researchers claim that patience may be necessary to achieve the expected levels of enrollment in the ACA that will make the ACA viable financially. The researchers base this analysis on previous Medicaid expansions in California, Connecticut, Minnesota, and the District of Columbia and the rates thatw lo-income people with no insurance had signed up in the past.
While pundits and news readers proclaim the great success or the great failure of the ACA depending on their political affiliation, the facts say we just have to wait to find out if the program will be a success or a failure.