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States were also complicit by launching "partnership" plans, seeking to transfer risk to insurance companies for looming Medicaid shortages due to aging population on the program.

???

That risk is transferred to the states, not the insurance company as once the policy has been paid in full, individuals qualified for Medicaid without the need to spend down their assets.

Partnership policies do not require lifetime coverage. They could qualify with as little as 3-5 years worth of coverage IIRC. After that, the state has to start paying.
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