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  • Trends in Medicaid Spending Leading up to ACA Implementation

    Issue Brief

    This paper presents data on Medicaid spending during the years leading up to the implementation of the Affordable Care Act (ACA). It uses administrative data to first examine overall spending trends and trends by service type. We then draw on additional data to analyze per enrollee spending growth during this period, both by service type and by eligibility group, to understand what drove Medicaid spending.

  • PEPFAR’s Short-Term Reauthorization Sets an Uncertain Course for Its Long-Term Future

    Policy Watch

    With the new omnibus bill, PEPFAR has been reauthorized until March 25, 2025, without the inclusion of any controversial provisions or changes related to abortion, sought by some. Still, while this latest step provides the program with some short-term certainty, including signaling bipartisan support (albeit limited), it marks a significant departure from PEPFAR’s past.

  • Is Medicaid Too Big to… Block Grant?

    From Drew Altman

    In his latest column, KFF President and CEO Drew Altman examines how the politics around the Medicaid program have changed as it has grown much larger and more popular, making it even tougher to block grant the program to cut federal Medicaid spending and hand it off to the states.

  • What Would Another Trump Presidency Mean for Health Care?

    Perspective

    In a new column in JAMA Health Forum, Larry Levitt, KFF’s executive vice president for health policy, explores what a second Trump presidency might mean for health policy based on his record and remarks, including potentially weakening the Affordable Care Act, reducing federal Medicaid costs, and restricting access to abortion.

  • NHE explorer

    National Health Spending Explorer

    Interactive

    The Health Spending Explorer on the Peterson-KFF Health System Tracker helps users examine five decades worth of numbers documenting expenditures by federal and local governments, private insurers, and individuals on 15 categories of health services, including hospitals, physician and clinic care, and prescription drugs.

  • The U.S. and Global Health Security at a Time of Transition

    Event Date:
    Event

    The U.S. government efforts to shore up global health security face a time of transition. The U.S. has played a leadership role in the Global Health Security Agenda (GHSA), which is entering its next phase, and the increase in funding after the Ebola and Zika outbreaks allowed for the expansion of U.S. efforts around the world. However, this funding is slated to run out by the end of FY 2019, just as the GHSA looks…

  • U.S. Global Health Policy One Year In to the Trump Administration

    News Release

    A new Kaiser Family Foundation issue brief assessing global health policy one year after President Trump took office finds half of Americans (54%) say they want the U.S. to play a major or leading role in improving health for people in developing countries, though support for such engagement is strongest among Democrats (73%) and lower among independents (47%) and Republicans (49%). The brief identifies a mix of challenges to U.S. global health policy, some of which pre-dated President Trump…

  • Overview of Medicaid Per Capita Cap Proposals

    Issue Brief

    The House Republican Plan (“A Better Way”) released on June 22, 2016, includes a proposal to convert federal Medicaid financing from an open-ended entitlement to a per capita allotment or a block grant (based on a state choice). This proposal is part of a larger package designed to replace the Affordable Care Act (ACA) and reduce federal spending for health care. Often tied to deficit reduction, proposals to convert Medicaid’s financing structure to a per…