PPACA Ruling Could Kill Some State Exchange Programs

States that keep Medicaid the same size may not be able to create viable exchanges, KPMG analysts say.

The U.S. Supreme Court ruling on the constitutionality of the Patient Protection and Affordable Care Act (PPACA) should make some states lean more toward getting exchange services from the federal government.

Analysts at the in-house government affairs and human and social services think tanks at KPMG L.L.P., Wilmington, Del., make that argument in a brief on the possible impact of the PPACA ruling.


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