Medicaid, jointly financed by state and federal governments, is made up of over 50 separate programs with disparate populations covered and services offered. In an effort to better understand the implications of federal policy changes for the financing structure of Medicaid, the Kaiser Commission on the Future of Medicaid…
Featured Medicaid’s Future Resources
Under a per capita cap, per enrollee spending would be capped, but the total amount of federal dollars to states could vary with enrollment changes and states would not be able to impose enrollment caps. Faced with restrictions in federal financing, states would have to make hard choices. This brief outlines the key measures states could use to manage their budgets and the associated challenges under a per capita cap: raise taxes or make other cuts, reduce benefits, limit coverage of high cost enrollees, reduce rates or implement delivery system reforms, and promote personal responsibility. Each option has challenges that are identified in the brief.
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Related Medicaid’s Future Resources
- Medicaid Changes in Better Care Reconciliation Act (BCRA) Go Beyond ACA Repeal and Replace
- State-by-State Estimates of Reductions in Federal Medicaid Funding Under Repeal of the ACA Medicaid Expansion
- Using Medicaid to Wrap Around Private Insurance: Key Questions to Consider
- Factors Affecting States’ Ability to Respond to Federal Medicaid Cuts and Caps: Which States Are Most At Risk?
- Medicaid Restructuring and Children with Special Health Care Needs
- How Would Proposed Changes to Medicaid and Marketplace Coverage Affect Real People?
- Why Does the Medicaid Debate Matter? National Data and Voices of People with Medicaid Highlight Medicaid’s Role
- Data Note: 10 Charts About Public Opinion on Medicaid
- What’s at Stake with ACA Repeal?
- Compare Proposals to Replace The Affordable Care Act
- Medicaid’s Role in Nursing Home Care
- Data Note: Variation in Per Enrollee Medicaid Spending Across States
- Medicaid’s Role in Addressing the Opioid Epidemic
- Medicaid and Work Requirements
- 10 Things to Know about Medicaid: Setting the Facts Straight
- Strategies to Reduce Medicaid Spending: Findings from a Literature Review
- What Could a Medicaid Per Capita Cap Mean for Low-Income People on Medicare?
- Medicaid’s Role: What’s at Stake Under a Block Grant or Per Capita Cap?
- Medicaid Restructuring Under the American Health Care Act and Nonelderly Adults with Disabilities
- Medicaid Restructuring Under the American Health Care Act and Implications for Behavioral Health Care in the US
- Current Flexibility in Medicaid: An Overview of Federal Standards and State Options
- Key Themes in Section 1115 Medicaid Expansion Waivers
- Medicaid State Fact Sheets
- Key Issues in Children’s Health Coverage
- Medicaid Pocket Primer
- Medicaid Financing: The Basics
- Medicaid’s Role in Ohio
- Medicaid’s Role in Kentucky
- Medicaid’s Role in West Virginia
- Medicaid’s Role in Tennessee
- Medicaid’s Role in Alaska
- Medicaid’s Role in Colorado
- Medicaid’s Role in Nevada
- Medicaid’s Role in Louisiana
Better Care Reconciliation Act (BCRA): State-by-State Estimates of Reductions in Federal Medicaid Funding
This brief provides national and state-by-state estimates of the reductions in federal spending under the Better Care Reconciliation Act for the period 2020-2029 and for 2029 in order to see the full effect of policy changes over a ten-year period.
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Financing Health Coverage: The State Children’s Health Insurance Program Experience Enactment of SCHIP sought a balance between increasing funds available for coverage and limiting total federal outlays. While SCHIP has had widespread support and success in helping to provide coverage for uninsured children, its capped financing system has also…
This timeline of key developments tracks the evolution of Medicaid and its role in America’s health care system.
The Impact of the “Medigrant” Plan on the Federal Payments to States The analysis examines the conference agreement plan for the redistribution of federal funds under a block grant for the Medicaid program. It also discusses the implications of the reductions in federal spending for beneficiary coverage. Report: The…
– Issue Brief State and federal budget pressures, rising health care costs, and new waiver initiatives have promoted debate over restructuring Medicaid at the federal and state level. Questions about how Medicaid is financed are central to this debate. This paper compares the current Medicaid financing system to a…
The Medicaid program is jointly funded by states and the federal government. There has been renewed interest in how Medicaid is financed in light of the additional federal financing for the Medicaid expansion under the Affordable Care Act (ACA) as well as ongoing budget discussions at the federal level. This brief reviews how the Medicaid program is financed as well as the implications for budgets, responsiveness to state policy choices and need, the links between Medicaid spending and state economies.
On March 9, the House Ways and Means Committee and Energy and Commerce Committee passed the American Health Care Act, the Republican leadership’s plan to repeal and replace the ACA. The Congressional Budget Office estimates that the House bill would reduce federal Medicaid spending by $880 billion over ten years by capping federal Medicaid spending and ending enhanced federal funding for Medicaid expansion adults. By 2026, federal Medicaid spending would be 25% lower than expected under current law, and 14 million fewer people would be covered by Medicaid than expected under current law. This brief considers five key Medicaid implications of the House bill.
This brief describes Medicaid’s role for nearly 7 million nonelderly adults with disabilities living in the community to help inform the debate about the American Health Care Act’s proposals to end enhanced federal funding under the ACA and reduce federal Medicaid funding under a per capita cap.
50-State Survey of Medicaid Eligibility and Enrollment Policies in 2017: A Baseline for Measuring Future Changes
As the Trump administration and Republican leadership in Congress begin a new term and seek to repeal the Affordable Care Act (ACA), a new 50-state survey from the Kaiser Family Foundation offers an in-depth profile of Medicaid and Children’s Health Insurance Program (CHIP) eligibility, enrollment, renewal, and cost sharing policies…
Medicaid represents $1 out of every $6 spent on health care in the US and is the major source of financing for states to provide coverage to meet the health and long-term needs of their low-income residents. Medicaid is administered by states within broad federal rules and jointly funded by states and the federal government. President-elect Trump and other GOP proposals have put forth fundamental changes in Medicaid financing. This brief examines the following 3 key Medicaid financing questions: How does Medicaid financing work now?; How much does Medicaid cost and how are funds spent?; What is the role of Medicaid in federal and state budgets?