Don Taylor wrote an interesting analysis of the state decisions on Medicaid expansion. His analysis indicated that about $30 billion in federal funds would go to the 24 states expanding Medicaid and that $35 billion is being left on the table by states that are not expanding Medicaid. He arrived at an interesting conclusion. “The bottom line is that if the current State Medicaid expansion decisions persist, the unintended story of the ACA will turn out to be the redistribution of money from poorer States, to richer ones, an outcome imposed by the poorer states, upon themselves.”
You can read his full blog post and access the supporting resources here.