Fig. 3. Percent of Americans Who Remain Uninsured in 201462
At the same time, health insurance premiums are reported to have
declined from 2013 to 2014,63 somewhat assuaging concerns that coverage
of newly Medicaid-eligible enrollees through private insurance would cost
significantly more than coverage through the traditional Medicaid
Although these results are encouraging, and public support for the
“private option” among low-income residents now stands at a high level,65
62. Quealy & Sanger-Katz, supra note 59.
63. See Andy Davis, 2015 Opens with Dip in Private Option’s Cost, ARK. DEMOCRAT-
GAZETTE, Jan. 28, 2015, at 2A (average per-enrollee monthly cost fell to $480, almost $20
lower than 2015 target); Andy Davis, State’s Insured Cost Dips 6th Time, ARK. DEMOCRAT-
GAZETTE, Oct. 10, 2014, at 1A, 2A (attributing decline in per-person payments to insurance
companies to increased enrollment of younger people and of those above the poverty line).
64. See, e.g., U.S. GOV’T ACCOUNTABILITY OFFICE, MEDICAID DEMONSTRATIONS:
HHS’S APPROVAL PROCESS FOR ARKANSAS’S MEDICAID EXPANSION WAIVER RAISES COST
CONCERNS (GAO-14-689R, Aug. 8, 2014); Watson, Section 1115 Medicaid Waivers, supra
note 7, at 225 (“HHS has played fast and loose with the budget neutrality requirement,
allowing Arkansas . . . to use cost assumptions with little or no basis in fact.”).
65. See Tracy Gnadinger, Low-Income Residents in Three States View Medicaid As
Equal to or Better than Private Coverage, Support Expansion, HEALTH AFF. BLOG (Oct. 9,
low-income-residents-in-three-states-support-medicaid-expansion/ (last visited Feb. 18,
2015) (finding that 83% of Arkansas residents with incomes less than 138% of FPL favored