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MEDICAID REPORT PART 1: The Current Costs of Health Care in N.C.

NC already has some of the most expensive health care in the country. Refusing to expand Medicaid will keep health care expensive.  

  • NC is the second most expensive state for health care overall and NC residents who buy their own health care pay the third highest monthly premiums in the nation.
    • Forgoing Medicaid expansion will cost NC about $40 billion, some of which is federal taxpayer dollars from North Carolinians funding Medicaid in other states.
    • The federal government will cover 90 percent of the costs of Medicaid in expansion states forever. Currently it only covers half of the cost in NC.
  • Premiums for people who buy their own health insurance are7 percent lower in states that have expanded Medicaid.
    • Uncompensated care costs at hospitals are lower in Medicaid expansion states where more people are insured and thus able to pay hospital bills for emergency care.
    • Medicaid work rules will increase uncompensated care costs for hospitals.
  • Federal taxes paid by NC residents are going to other states.
  • Instead of saving money, Medicaid work requirements can add to health care costs and waste taxpayer dollars.
    • Work requirements could cost anywhere from $70 million to $170 million to implement and could more than double monthly premiums.
  • Not closing the gap will make health care even more expensive in NC.

Read the full report here.