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Kasich role in Ohio Medicaid expansion examined

(DUBLIN, Ohio – Oct. 7, 2015) An article recently published online in the Journal of Health Politics, Policy and Law takes a closer look at the contentious political maneuverings involved in the expansion of Medicaid in Ohio, including Gov. John Kasich’s role.

The article’s author, Daniel Skinner, Ph.D., an assistant professor of health policy in the Department of Social Medicine at the Ohio University Heritage College of Osteopathic Medicine, explores the complicated politics in Ohio following the 2012 U.S. Supreme Court ruling in the National Federation of Independent Businesses v. Sebelius case that made it optional for states to expand Medicaid as authorized by the Patient Protection and Affordable Care Act.

In the article Skinner explains that states skewing strongly toward one political party or another mostly followed party lines when deciding whether to expand Medicaid. However, in swing states, the decision was more complicated. According to Skinner, the way Ohio dealt with the Medicaid expansion was unique and tethered to the political positioning of Kasich.

“Kasich’s strategy suited his policy goal of expanding Medicaid and declaring his independence from the official party line while providing opportunity for honing his political brand as a reformer committed to conservative principles,” writes Skinner.

The Ohio Medicaid story, according to Skinner, reflects the political transition occurring in the state.

"This is an excellent case study that reveals the complicated role that Medicaid—a massively important program to millions of people—plays in conservative states and details how at least one conservative politician responds to the federal option to expand the program," said JHPPL Editor Colleen Grogan, a professor at the University of Chicago.

An advanced copy of the JHPPL article, “Medicaid in Ohio: The Politics of Expansion, Reauthorization, and Reform” can be found online.

Skinner is an expert in health care politics and policy. He is currently developing a series of papers critically exploring the policy dynamics of the Affordable Care Act.

The Ohio University Heritage College of Osteopathic Medicine is a leader in training dedicated primary care physicians who are prepared to address the most pervasive medical needs in the state and the nation. Approximately 50 percent of Heritage College alumni practice in primary care and 60 percent practice in Ohio. CARE LEADS HERE.


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