Indiana Medicaid Expansion Fiscal Analysis

This Milliman report, for the Indiana Family and Social Services Administration, projects the cost of certain scenarios for the ACA’s Medicaid expansion. The authors state that Indiana will spend $2 billion of its own money between fiscal years 2014 and 2020 if the state takes the entire expansion. Even without the expansion, Milliman projects that Indiana’s Medicaid spending would jump $611.7 million because of increased enrollment from the individual mandate, referrals from the exchange and a potential decline in employer-sponsored insurance. If Indiana is allowed to expand Medicaid to 100 percent and get the ACA’s match rate, Indiana would still spend $1.7 billion more in that timeframe.

Access the report here.