This brief presents new information on the distribution of Medicaid spending for all enrollees, including those residing in institutions. The analysis finds that fewer than five percent of enrollees (each exceeding $25,000 in annual costs) account for almost half of all Medicaid spending.

Issue Brief (.pdf)

The Deficit Reduction Act (DRA) of 2005, which became law this February, includes several significant changes to Medicaid long-term care policies. The Kaiser Family Foundation’s Commission on Medicaid and the Uninsured is releasing five new reports on long-term care issues that were addressed by the DRA changes.

Long-term care accounts for 36 percent of Medicaid spending (over $100 billion annually) and is utilized by many of Medicaid’s most costly beneficiaries, the low-income elderly and individuals with disabilities.

Medicaid Long-Term Services Reforms in the Deficit Reduction Act

Asset Transfer and Nursing Home Use: Empirical Evidence and Policy Significance

Beyond Cash and Counseling: An Inventory of Individual Budget-based Community Long-Term Care Programs

Nursing Home Transition Programs: Perspectives of State Medicaid Officials

Home Transition Programs: Perspectives of Medicaid Care Planners

This study of Medicare Part D plans offered in 2006 examines formularies, drug costs and utilization management tools in drug plans offered by 14 national and near-national organizations. Collectively, these organizations account for 1,222 of the 1,429 Part D plans available to Medicare beneficiaries.

The analysis finds that Medicare’s new, private, stand-alone drug plans vary significantly in terms of covered drugs, out-of-pocket costs for specific medications and restrictions placed on the use of certain drugs.

The study was conducted by Jack Hoadley of Georgetown University, Elizabeth Hargrave of NORC at the University of Chicago, and Juliette Cubanski and Tricia Neuman of the Kaiser Family Foundation.

News Release

Report (.pdf)

Medicaid and the State Children’s Health Insurance Program (SCHIP) are often compared because they both serve low-income populations. However, the populations served, the coverage offered and the structure of these programs have differed in important ways. With the passage of the Deficit Reduction Act of 2005, states can now apply some SCHIP-like principles to the Medicaid program. Moreover, SCHIP is due for reauthorization by Congress after fiscal year 2007.

This issue brief examines the similarities and difference between Medicaid and SCHIP as well as the implications of applying some SCHIP design features to the Medicaid program.

Issue Brief (.pdf)

Do you think the government in Washington should guarantee medical care for all people who don’t have, health insurance or isn’t this the responsibility of the government in Washington?

65% Should

27 Not government responsibility

8 Don’t know/No answer

Methodology: Conducted by CBS News/New York Times, September 16-September 19, 1993 and based on telephone interviews with a national adult sample of 1,136. Data provided by The Roper Center for Public Opinion Research, University of Connecticut.

Do you think the government in Washington should guarantee medical care for all people who don’t have, health insurance or isn’t this the responsibility of the government in Washington?

77%  Should

17   Not government responsibility

6    Don’t know/No answer

Methodology: Conducted by CBS News/New York Times, June 17-June 20, 1992 and based on telephone interviews with a national adult sample of 1,315.   Data provided by The Roper Center for Public Opinion Research, University of Connecticut.

The National ADAP Monitoring Report, 2006 provides the latest data on state AIDS Drug Assistance Programs (ADAPs). ADAPs, authorized under Title II of the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act, provide HIV/AIDS-related prescription drugs to uninsured and underinsured individuals living with HIV/AIDS. ADAPs operate in 57 U.S. states, territories and associated jurisdictions. The report, the tenth in an annual series, was prepared by the Kaiser Family Foundation and the National Alliance of State and Territorial AIDS Directors (NASTAD). It was released during a policy forum on March 30, 2006.

Summary and Detailed Findings (.pdf)

Full Report (including charts and appendices) (.pdf)

Key ADAP Highlights (.pdf)

ADAP Formularies (.pdf)

This series of tables provides recent data on state-by-state and national Medicaid spending and enrollment.

Using the latest federal information sources available, the first set of tables contains information on Medicaid spending by service using data from the Centers on Medicaid and Medicare Services (CMS) Form 64 for Federal Fiscal Year (FFY) 2004.

A second set of tables is based on analysis of a more detailed data source, the Medicaid Statistical Information System (MSIS), which provides information on enrollment and spending per enrollee for FFY 2002. Both sets of tables were prepared for the Kaiser Commission on Medicaid and the Uninsured by the Urban Institute.

2004 State and National Medicaid Spending Data (CMS-64)

2002 State and National Medicaid Enrollment and Spending Data (MSIS)

Overview of Differences between Data Sources (.pdf)

This set of tables, prepared by the Urban Institute for the Kaiser Commission on Medicaid and the Uninsured, presents state-by-state information on Medicaid enrollment, expenditures, and spending per enrollee for Federal Fiscal Year (FFY) 2002. These tables are based on analysis of data from the Medicaid Statistical Information System (MSIS) and provide a somewhat different measure of spending than CMS-64 data. Please see the “Overview of Differences” document below for more on the features of each data source.

Full Set of Tables (.pdf)

Individual Tables (.pdf)

Table 1Medicaid Enrollment by Group, FFY 2002Table 1aPercent Distribution of Medicaid Enrollees by Group, FFY 2002Table 2Medicaid Payments Per Enrollee by Group, FFY 2002Table 3Medicaid Payments by Service, FFY 2002Table 3aPercent Distribution of Medicaid Payments by Service, FFY 2002Table 4Medicaid Payments by Group, FFY 2002Table 4aPercent Distribution of Medicaid Payments by Group, FFY 2002Table 5Medicaid Payments for Inpatient Hospital Services by Group, FFY 2002Table 5aPercent Distribution of Medicaid Payments for Inpatient Hospital Services by Group, FFY 2002Table 6Medicaid Payments for Nursing Facilities by Group, FFY 2002Table 6aPercent Distribution of Medicaid Payments for Nursing Facilities by Group, FFY 2002Table 7Medicaid Payments for Prescribed Drugs by Group, FFY 2002Table 7aPercent Distribution of Medicaid Payments for Prescribed Drugs by Group, FFY 2001Table 8Medicaid Payments for Physicians and Other Practitioners by Group, FFY 2002Table 8aPercent Distribution of Medicaid Payments for Physicians and Other Practitioners by Group, FFY 2002Table 9Medicaid Payments for Outpatient Hospital and Clinic Services by Group, FFY 2002Table 9aPercent Distribution of Medicaid Payments for Outpatient Hospital and Clinic Services by Group, FFY 2002Table 10Medicaid Payments for ICF-MR by Group, FFY 2002Table 10aPercent Distribution of Medicaid Payments for ICF-MR by Group, FFY 2002Table 11Medicaid Payments for Mental Health Facilities by Group, FFY 2002Table 11aPercent Distribution of Medicaid Payments for Mental Health Facilities by Group, FFY 2002Table 12Medicaid Payments for Managed Care by Group, FFY 2002Table 12aPercent Distribution of Medicaid Payments for Managed Care by Group, FFY 2002Table 13Medicaid Payments for Home and Personal Care by Group, FFY 2002Table 13aPercent Distribution of Medicaid Payments for Home and Personal Care by Group, FFY 2002Table 14Medicaid Payments for Other Services by Group, FFY 2002Table 14aPercent Distribution of Medicaid Payments for Other Services by Group, FFY 2002Table 15Medicaid Payments for Unknown Services by Group, FFY 2002Table 15aPercent Distribution of Medicaid Payments for Unknown Services by Group, FFY 2002

Table Notes (.pdf)

Overview of Sources (.pdf)

New Media and the Future of Public Service Advertising: Case Studies, March 2006

The Kaiser Family Foundation released this collection of case studies on public education campaigns that use new media to help illustrate ways to incorporate new strategies into ongoing or new efforts at a forum on Tuesday, March 21, 2006, in Washington, D.C.

Report (.pdf)