[USNBandit]

On background, they shifted many of the Medicaid enrollees over to commercial managed care, like Aetna and BCBS.

The state has a massive waiting list for the disabled, and they chose to go the route of expanded Medicaid anyway, where the state ends up with a portion of the bill.

In most states with expanded Medicaid, the total enrolled in Obamacare was 1/3 new Medicaid, 1/3 expanded Medicaid, and 1/3 in an actual paid plan.

[steve86]

Is our state (Washington) experiencing significant “unexpected costs”? If not, what accounts for the difference?