Cost-sharing With Medicaid Expansion in Michigan

Six states expanding Medicaid under the Affordable Care Act have obtained waivers to incorporate cost-sharing.We describe the magnitude and distribution of cost-sharing imposed by the Healthy Michigan Plan and enrollees' propensity to pay.Enrollees are followed for at least 18 months (6-mo baseline period for utilization and spending before receipt of first cost-sharing statement; ≥12 mo follow-up thereafter to ascertain obligations and...