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  • Medicaid Spending and Enrollment: Updated for FY 2022 and Looking Ahead to FY 2023

    Issue Brief

    In February 2022, the Kaiser Family Foundation (KFF) and Health Management Associates (HMA) fielded a rapid, mini-survey of Medicaid directors in all 50 states and the District of Columbia as a follow-up to the annual Medicaid Budget Survey conducted in summer 2021. This brief explores Medicaid enrollment and spending growth estimates for FY 2022 and projections for FY 2023, as reported by state Medicaid directors.

  • A Little-Noticed Win in Global HIV Treatment

    News Release

    In his latest column for The Wall Street Journal's Think Tank, Drew Altman discusses a recent success in global HIV treatment and how successes may get less attention than they deserve because of prevailing attitudes about the corruption in foreign aid. All previous columns by Drew Altman are available.

  • What is Medicare’s Role in End-of-Life Care?

    News Release

    Medicare plays an integral role in end-of-life care, an issue that is emotionally-charged and easily politicized.  About three-quarters of the 2.5 million Americans who die each year are ages 65 and older, and covered by Medicare at the time of their death, yet policy issues related to Medicare and end-of-life care are often poorly understood. As policymakers consider whether and how Medicare should pay physicians and other health care professionals for talking to Medicare beneficiaries…

  • Key Questions About the New Increase in Federal Medicaid Matching Funds for COVID-19

    Issue Brief

    Recent federal legislation, the Families First Coronavirus Response Act, amended by the Coronavirus Aid, Relief, and Economic Security (CARES) Act, authorizes a 6.2 percentage point increase in federal Medicaid matching funds to help states respond to the COVID-19 pandemic. This issue brief answers key questions about the new federal funds, drawing on two sets of frequently asked questions about the Families First Coronavirus Response Act and CARES Act issued by the Centers for Medicare and…

  • Restructuring Medicaid in the American Health Care Act: Five Key Considerations

    Issue Brief

    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…

  • The Future of Global Health Financing Amid a Changing Policy Landscape

    Event Date:
    Event

    Global humanitarian crises, new political leadership in the U.S. and elsewhere, and a climate of fiscal austerity are reshaping the landscape for global health financing. In this context, it faces a challenging and uncertain future. On Thursday, April 20, the Kaiser Family Foundation and the Center for Strategic and International Studies hosted a policy briefing to discuss the current state of global health financing and the future landscape, with a panel of leading experts. Joseph Dieleman,…

  • Medicaid Enrollment & Spending Growth: FY 2019 & 2020

    Issue Brief

    This brief analyzes Medicaid enrollment and spending trends for FY 2019 and FY 2020 based on interviews and data provided by state Medicaid directors as part of the 19th annual survey of Medicaid directors in all 50 states and the District of Columbia. States reported declines in Medicaid enrollment and modest growth in total Medicaid spending for state fiscal year (FY) 2019 and budgeted for nearly flat enrollment growth but a return to more typical…

  • State Options for Medicaid Coverage of Inpatient Behavioral Health Services

    Report

    This report provides data to understand current patterns of Medicaid enrollees’ use of inpatient and outpatient substance use disorder and mental health treatment services; explains the options for states to access federal Medicaid funds for enrollees receiving IMD services; analyzes current Section 1115 waiver activity; and draws on interviews with policymakers using IMD waivers in Vermont, Virginia, and San Diego County to examine successes and challenges

  • Implications of CMS’s New “Healthy Adult Opportunity” Demonstrations for Medicaid

    Issue Brief

    On January 30, 2020, the Centers for Medicare and Medicaid Services (CMS) released guidance inviting states to apply for new Section 1115 demonstrations known as the “Healthy Adult Opportunity” (HAO). These demonstrations would permit states “extensive flexibility” to use Medicaid funds to cover Affordable Care Act (ACA) expansion adults and other nonelderly adults covered at state option who do not qualify on the basis of disability, without being bound by many federal standards related to…

  • The Future of Global Health Financing: Hope vs. Reality in the Push for Universal Health Coverage

    Event Date:
    Event

    On Thursday, April 25, the Kaiser Family Foundation and the CSIS Global Health Policy Center held a policy roundtable on the latest data on funding for global health, including from the U.S. government. It began with a brief presentation by Joseph Dieleman of the Institute for Health Metrics and Evaluation on the annual Financing Global Health report, which this year includes new data on trends in HIV and malaria funding. WHO Director-General Tedros Adhanom Ghebreyesus…