Across states, Medicaid eligibility can vary widely based on population, services, and income level requirements. That gap in eligibility was widened in 2014, when the Patient Protection and Affordable Care Act's Medicaid expansion was implemented in some states. Coupled with this change of adding more individuals to Medicaid is the continued increase in Medicaid spending per person. Medicaid spending increases are largely due to increases in the cost of health care services, but may also be affected by expensive new treatments. Taken together, increased spending and eligibility is putting pressure on state budgets and - in turn - provider organizations.
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