Avalere Health projects 26 states will not expand their Medicaid programs next year or are leaning in that direction, meaning 5.3 million fewer people will gain access to the program. In states with expanded access, the additional patients gaining coverage could strain primary care systems, but Avalere vice president Caroline Pearson said alternative plans, such as the premium assistance model approved in Arkansas, may reduce physician shortages.
State Medicaid expansion plans could affect primary care
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