Including, for Each State:
- Number of Traditional & Expansion Medicaid Enrollees
- Federal & Expansion Medicaid Spending Amounts
- Reduction in Number of People without Insurance, 2013-2015
- Estimated Number of People with Declinable Pre-Existing Condition
Our summary reviews findings from 108 studies of the impact of state Medicaid expansions under the ACA published between January 2014 and January 2017.
- A 1-page distillation of information and statistics about the opioid epidemic and Medicaid’s role in covering addiction treatment services.
- Related slideshow: The Evolving Opioid Epidemic and Medicaid’s Growing Role in Treatment
Total newly eligible Medicaid expansion
enrollees: 10.7 million
Our fact sheets highlight the role and reach of Medicaid in every state.
A look at Medicaid’s role for 52 million nonelderly children and adults living in the most rural areas in the United States.
In the debate about Medicaid’s future, some critics have made statements at odds with data, research, and basic information about Medicaid. Let’s get the facts straight.
Medicaid's Role in 8 Key States in the Debate Over the BCRA
Medicaid covered 875,000 nonelderly veterans in 2015, including many with complex needs such as chronic conditions, mental health and substance abuse disorders and traumatic brain injuries.
Section 1115 waivers provide states an avenue to test new approaches in Medicaid that differ from federal program rules. They generally reflect priorities identified by states and the Centers for Medicare and Medicaid Services (CMS).
- Work requirements
- Time limits
- Premiums with lock-out for nonpayment
We look at waivers that implement the ACA’s Medicaid expansion and highlight themes in approved, pending, and denied provisions to date as well as key issues to watch.
- Medicaid, the primary payer for nursing home care, covers 6 in 10 nursing home residents.
- 1 in 3 people turning 65 will require nursing home care at some point in his or her life.
We spoke with people covered by Medicaid and marketplace plans in several states. Their stories are examples of how the changes in Medicaid and the ACA would affect ordinary Americans.
- Tracy, 38, Albuquerque, NM
- Jackie, 51, Kansas City, KS
- Melodie, 23, Richmond, VA
- Lori, 43, Richmond, VA
- Brandon, 32, Kansas City, KS
- Noelle, 33, Richmond, VA
Behavioral health conditions affect a substantial number of people in the U.S. and are especially common among people with low incomes. Our brief looks at the key role Medicaid plays in covering and financing behavioral health care.
Medicaid Restructuring and Special Populations
- Some Medicaid expansion states could face more disruption in financing and coverage than others.
Our 2014 data shows Medicaid per enrollee spending varies greatly across states and groups of enrollees. It is higher, on average, among the aged and individuals with disabilities due to the higher use of acute services and long-term care, and lower for other adults and children.
- Raise taxes or make other budget cuts.
- Reduce Medicaid “optional” benefits not required by law.
- Limit coverage of high cost enrollees.
- Reduce provider rates or implement delivery system reforms.
- Promote personal responsibility or skin in the game.
An explainer on how Medicaid is financed, whom it covers and how spending is distributed across groups, as policymakers consider restructuring the program.
- Our infographic explains Medicaid’s role for millions of Americans age 65 and older, who often have complex health needs.
- A related infographic looks at Medicaid’s role in nursing home care.
>Restructuring Medicaid financing as proposed in the AHCA could limit states’ ability to care for these children.
- Medicaid plays an important role for individuals with mental health conditions, particularly those with low incomes
- Adults with mental illness on Medicaid more likely to receive treatment than those with private insurance or no insurance
- Receipt of psychiatric medication is more common among adults on Medicaid compared to those with private insurance or no insurance
This report can help policymakers and the public understand recent trends in nursing facility care.