Medicaid Expansion

In January 2015, Tennessee released a proposed amendment to its current Section 1115 demonstration to implement the Affordable Care Act’s Medicaid expansion.  While the state legislature ultimately decided not to pursue the amendment, this alternative approach is just one example of alternative approaches to traditional Medicaid expansion.  Other states, including Arkansas, Iowa, Indiana, Pennsylvania and Michigan, have also proposed and (some have) operated these alternative models.

Read over the documents regarding the proposed Insure Tennessee program:

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Insure Tennessee Basics
Insure Tennessee Legislative Hearing Presentation
Insure Tennessee FAQ
These documents were prepared by Tennessee Governor Bill Haslam’s administration and provided to the Tennessee General Assembly.  Because of a prior law, the Tennessee General Assembly must approve any proposal that would expand the state’s Medicaid program under the ACA.

For this assignment, provide an analysis of Insure Tennessee.  In your analysis, please include the following:

Who would have been eligible for this program?
What requirements would be placed on beneficiaries of this program?
How would have this program been financed after the 100% federal funding is reduced?
What aspects of the program differ from the traditional Medicaid expansion done in other states?
What aspects of the program were copied by proposals from other states using/considering alternative Medicaid models?
Discuss the political climate and other factors that resulted in the lack of approval for Tennessee to pursue this amendment to its Section 1115 waiver.
You are required to follow the guidelines below when submitting this assignment.

Type in Microsoft Word, double spaced,1″ margins, 12 pt. font size, Times New Roman or Arial font type
A minimum of three (3) of pages and a maximum of five (5)
A minimum of two (2) peer review references
News coverage was extensive.  You should be able to find numerous articles that provide the insight needed to complete this assignment. Cite appropriately.

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