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Low-Income Families in Medicaid Expansion States Have Much Lower Out-of-Pocket Health Spending

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New Commonwealth Fund research demonstrates how states that expanded Medicaid eligibility have not only improved low-income residents’ access to health care but have also reduced what families must spend out of pocket on premiums, cost-sharing, and other related expenses.

The new analysis, conducted by a team headed by Sherry Glied, dean of New York University's Robert F. Wagner Graduate School of Public Service, found that the average low-income family in a Medicaid expansion state saves about $382 annually relative to a comparable family in a nonexpansion state. Moreover, low-income families in states that expanded Medicaid are less likely than their counterparts to have any out-of-pocket health care costs at all.

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