|By Meredith Cohn, The Baltimore Sun|
|McClatchy-Tribune Information Services|
The state ceased such reviews for six months as it worked to open the new online marketplace for people to buy public and private insurance plans and adjust to new rules. The absence of such reviews was estimated to cost taxpayers up to
"There will be some kind of analysis," said Dr.
There are more than a million people on
Normally, thousands of people "churn" out of the program each year as their incomes rise -- 20 percent joined and 14 percent lost eligibility in 2011, for example, according to a study by the
But more people are expected to remain in the program now because the threshold was bumped from close to 100 percent of the federal poverty level to 138 percent, or almost
Federal funds are largely paying for the increased cost associated with the expansion.
About two-thirds of the states stopped doing
State officials will continue to use part of their current, antiquated system to review
Eventually, those who lose
Researchers have found that churn from the program causes inconsistencies in care and added administrative costs.
And since every state has had to build or join an exchange, and a quarter of states have expanded their
One state initially having trouble was
Renewals are bound to be more complicated elsewhere because of confused consumers, said
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