In Virginia, the debate regarding Medicaid expansion continues, reports the Associated Press. If the state decides to expand Medicaid to about 400,000 low-income residents, those eligible will have private insurance paid for with federal funds. Virginia has two Medicaid systems--fee for service, where the state reimburses healthcare providers for Medicaid costs, and managed care, where insurers are paid a flat fee to administer care. Many insurers, as well as hospitals, nursing homes and state officials, favor managed care. "We believe it's a service that adds value, that's why we're willing to pay for it," says William A. Hazel Jr., M.D., Virginia's secretary of health and human services. Article