‘Why Utah Is the State to Watch on Medicaid Expansion’

A possible compromise agreement between Utah and the Obama administration about Medicaid expansion could have national implications, reports The Washington Post. 

Writes Jason Millman:

A good number of the 24 states that haven’t joined the Medicaid expansion are looking at a way they could enter the program by crafting their own plans. Arkansas and Iowa last year paved the way after getting federal approval to use their health insurance exchanges to provide private coverage to the Medicaid expansion population.

Herbert has broadly sketched out what his plan would look like. He’s asking the feds for a three-year block grant to cover about 110,000 low-income people with private insurance. He’s also seeking cost-sharing and work requirements that could be tough sticking points with CMS.

Still, if there were a state to push the administration for more flexibility, Utah would be the likely candidate. That’s because it already won a key concession from the Obama administration on its exchange design.