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All corners of the United States help headline a new poll from Gallup that examines changes to uninsured rates since January 2014, when PPACA’s individual mandate provision took effect. Arkansas and Kentucky saw the sharpest decline in uninsured adult residents, with decreases of 10.1 and 8.5 percent respectively. Rounding out the top five states were Delaware (a -7.2 percent change), Washington state (-6.1 percent) and Colorado (-6.0 percent).

These states may span the length of a U.S. map, but they do have a few commonalities: All five chose to expand Medicaid, and four of the five set up their own state-based health insurance exchanges. (Arkansas has a state-federal partnership exchange.) Across the board, states that enacted both of these measures have seen a steeper decline in uninsured rates than states that have not: 4 percent across 21 states versus just 2.2 percent across the 29 states that either host a federal exchange or have declined to expand Medicaid.

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Nichole Morford

As ALM's Digital Editor-in-Chief, Nichole Morford is responsible for the development of digital strategies to maximize web traffic, deepen audience engagement and effectively monetize digital products. Previously, as Editorial Lead, Digital Content Strategy for ALM's Insurance Group, Morford directed the digital strategy and growth of the division’s web products. Prior to joining ALM through the acquisition of Summit Professional Networks, Morford was managing editor of LifeHealthPro.com and managing editor of Agent's Sales Journal magazine. She started her career as an editor at Penguin Group.

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