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Josh Archambault
Works at Foundation for Government Accountability
Attended Harvard Kennedy School
125 followers|8,758 views
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Education
  • Harvard Kennedy School
    MPP, 2008 - 2010
  • Gordon College
    2001 - 2005
Work
Employment
  • Foundation for Government Accountability
    Senior Fellow, present
  • Pioneer Institute
    Senior Fellow of Health Care Policy and Middle Cities, present
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Josh Archambault

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Across the country, governors and state lawmakers have circled “2017” on their calendars. As Obamacare's federal Medicaid expansion dollars are reduced, many will find themselves scrambling as 17 expansion states have surpassed enrollment projections by an average of 91%, with most surpassing maximum enrollment by 73%. As it turns out, “free money” comes at a long-term cost.
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As we wait for the Obamacare ruling, learn what exchange enrollees really want from King v Burwell. http://www.forbes.com/sites/theapothecary/2015/06/24/king-v-burwell-obamacare-enrollees-to-states-dont-set-up-aca-exchanges/
This month, the Foundation for Government Accountability released a first-of-its-kind survey of Obamacare exchange enrollees in federal exchange states. It provides policymakers with guidance on how they should respond to the ruling.
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Monday marked the start of a special session called to pass Florida’s budget. Right on cue, the heavily hospital-connected State Senate is pushing Obamacare’s Medicaid expansion again. With a slightly modified version now rebranded as FHIX 2.0 (or Florida Health Insurance Affordability Exchange Program), the Florida Senate is pushing against a resolute House and a Governor that has all but threatened a veto. For those following the debate in Tall...
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The Obama administration has worked for years to lure states into accepting Obamacare’s Medicaid expansion under the false promise of “flexibility.” The latest fight with Florida over Low Income Pool (LIP) funding should disabuse any state leaders of that false notion.
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 Is Arkansas Violating Federal Law By Not Verifying Eligibility For Its Obamacare Medicaid Expansion?http://www.forbes.com/sites/theapothecary/2015/04/16/is-arkansas-violating-federal-law-by-not-verifying-eligibility-for-its-obamacare-medicaid-expansion/
Internal e-mails from the Arkansas Department of Human Services reveal that the state has not bothered to verify that individuals enrolled in Obamacare’s Medicaid expansion are still eligible for benefits. This revelation comes with several legal and policy implications and should serve as a wakeup call to state legislators across the country.
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King v Burwell SCOTUS Fallout: New Poll Confirms Voters Don't Want State Obamacare Exchanges
http://www.forbes.com/sites/theapothecary/2015/04/02/new-poll-confirms-voters-dont-want-state-obamacare-exchanges/
Last week, the Foundation for Government Accountability released a groundbreaking poll of voters in federal exchange states that provides valuable insight into how voters want policymakers to respond to the pending King v. Burwell Supreme Court ruling. In short, voters don’t want their state legislators to rescue Obamacare should the Supreme Court rule that health insurance subsidies cannot flow through HealthCare.gov. They blame Congress for a p...
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In his circles
198 people
Have him in circles
125 people
Nadir Ahmad's profile photo
Peter Glenn's profile photo
Eric Fruits's profile photo
Ryan Polonski's profile photo
Jonathan Bechtle's profile photo
Christopher Robichaud's profile photo
Matthew Wolfe's profile photo
Nicole Fisher's profile photo
Ernest Istook's profile photo

Josh Archambault

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Last week, Alaska Gov. Bill Walker announced that he will bypass the legislative process and implement Obamacare’s Medicaid expansion by executive fiat. Gov. Walker appears to be deliberately underestimating Medicaid expansion enrollment, benefit costs, and administrative costs to make this expansion possible.
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Josh Archambault

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By Patrick Ishmael & Josh Archambault - The U.S. Supreme Court prohibited Congress and the Obama administration from holding medicaid funding hostage, yet that has not stopped HHS from using Medicaid waivers as sticks of blackmail rather than carrots of consensus. The appetite for cooperative federalism has already dampened and would be dampened considerably more if states can only pray that the federal government doesn’t alter deals any further.
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Don't mess with Medicaid expansion? A lesson from Texas
 
Josh Archambault, an Obamacare critic and senior fellow with the Foundation for Government Accountability, earlier this year argued on Forbes.com that Congress should repeal expansion.
 
"The vast majority of the able-bodied adults covered under Obamacare expansion have never been considered among the most vulnerable, have no disabilities keeping them from work, have no dependent children and don't typically qualify for other types of welfare, including cash assistance and long-term food stamps," Archambault wrote. "Why should federal taxpayers pay states nearly twice as much to cover able-bodied adults as they pay to cover the truly needy?"
http://www.cnbc.com/id/102717684
Texas is forgoing about $100 billion in federal funds by rejecting the idea of expanding a major health program for the poor to more adults.
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Josh Archambault

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My latest report from Pioneer Institute for Public Policy Research was the subject of an editorial at the Boston Herald this morning:
"The Pioneer report details countless technical and management failures that doomed the project from the start. But the most troubling conclusion is that the state concealed those shortcomings, not just from the public and the media but from the Centers for Medicare and Medicaid Services."
Full report here: http://pioneerinstitute.org/…/press-release-whistleblowers…/
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http://www.wsj.com/articles/obamacares-big-dig-1431299268

"..the best autopsy of the connector mess is being published Monday by Boston’s Pioneer Institute think tank, where Josh Archambault reviews internal audits and whistleblower testimony he obtained. The evidence is damaging to both Massachusetts’s exchange contractor, CGI Corp., and the administration of former Democratic Governor Deval Patrick."

My full report can be found here:
http://pioneerinstitute.org/healthcare/press-release-whistleblowers-behind-the-scenes-account-of-health-connector-meltdown/
The Massachusetts ObamaCare exchange is under federal investigation, the Wall Street Journal writes in an editorial.
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Josh Archambault

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“The interest for state lawmakers has been that, even as as the economy has improved, they continue to see a lot of individuals being added to these programs," says Josh Archambault, a senior fellow at the Foundation for Government Accountability, which supports changes to welfare laws. “[It's] a recognition that they’re not doing what they're supposed to do – it’s not temporary, It’s not orienting people toward work.”

http://www.usnews.com/news/articles/2015/04/09/states-take-aim-at-social-welfare-programs
Bans on steak and tattoos attract national attention, but ;other provisions raise concerns among advocates for the poor. ;
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