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  • Key Issues in Children’s Health Coverage

    Issue Brief

    This brief reviews children’s coverage today and examines what is at stake for children’s coverage in upcoming debates around CHIP funding, repeal and replacement of the ACA, and Medicaid restructuring.

  • Medicaid Enrollment & Spending Growth: FY 2017 & 2018

    Issue Brief

    This issue brief provides an overview of Medicaid spending and enrollment growth with a focus on state fiscal years 2017 and 2018. Findings are based on interviews and data provided by state Medicaid directors as part of the 17th annual survey of Medicaid directors in all 50 states and the District of Columbia conducted by the Kaiser Family Foundation (KFF) survey and Health Management Associates (HMA). Findings examine changes in overall enrollment and spending growth.

  • Donor Government Funding for Family Planning Fell in 2016 for the Second Year in a Row

    News Release

    A new Kaiser Family Foundation report finds that donor government funding for family planning declined in 2016 for the second year in a row, decreasing to US$1.19 billion compared to US$1.34 billion in 2015. While the declines over this two-year period were largely due to exchange rate fluctuations and the timing of donor disbursements which accounted for 78 percent of the overall decrease, there were actual cuts in funding from some donor countries which accounted for 22…

  • No Easy Choices: 5 Options to Respond to Per Capita Caps

    Issue Brief

    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…

  • What Are the Implications for Medicare of the American Health Care Act and the Better Care Reconciliation Act?

    Issue Brief

    This issue brief highlights a major implication of the American Health Care Act and Better Care Reconciliation Act for Medicare. Both bills would repeal the Affordable Care Act provision to increase the payroll tax on high-income earners. Repealing this surtax would move up the insolvency date of the Medicare Part A trust fund by 2 years, from 2028 to 2026, and also worsens the program's long-term financial outlook.

  • Medicaid Changes in Better Care Reconciliation Act (BCRA) Go Beyond ACA Repeal and Replace

    Issue Brief

    Both the Senate's Better Care Reconciliation Act of 2017 (BCRA) and the House's American Health Care Act (AHCA) go beyond repeal and replacement of the Affordable Care Act (ACA) to make fundamental changes to Medicaid by setting a limit on federal funding through a per capita cap or block grant. The BCRA also includes additional changes that would further reduce federal spending for states with high per enrollee spending, limit state financing mechanisms, allow states…

  • Health Affairs Blog: Can States Substantially Reduce Medicaid Spending Through Delivery System And Financing Reform?

    Perspective

    In a Health Affairs blog post,  Joshua M. Wiener and Melissa Romaire of RTI International and MaryBeth Musumeci of the Kaiser Family Foundation examine whether states could successfully cope with substantial reductions in federal Medicaid funding under a per capita cap or block grant system by improving efficiency in the way both acute and long-term care are delivered and paid for under the program. A review of the evidence in literature suggests that large Medicaid…

  • Senate Appropriations Committee approves FY 2018 State & Foreign Operations (SFOPs) and Health & Human Services (HHS) Appropriations Bills

    Fact Sheet

    On September 7, 2017, the Senate Committee on Appropriations approved both the FY 2018 State & Foreign Operations (SFOPs) and  the FY 2018 Labor, Health & Human Services (LHHS) appropriations bills. The SFOPs bill includes funding for U.S. global health programs at the State Department and the U.S. Agency for International Development (USAID), while the LHHS appropriations bill includes funding for global health programs at the Centers for Disease Control and Prevention (CDC) and the…

  • Donor Government International Funding for Family Planning Increased By 9 Percent In 2014

    News Release

    A new Kaiser Family Foundation report finds that donor governments provided US$1.4 billion in bilateral funding for family planning programs in low- and middle-income countries in 2014 – a 9 percent increase from 2013 and a 32 percent increase from 2012. The U.S. was the largest donor, providing US$637 million, nearly half of all bilateral funding for family planning programs in 2014. The U.K. (US$328 million) was the second largest bilateral donor, followed by the Netherlands…

  • Medicaid: Moving Forward

    Feature

    This slideshow gives a basic overview of the Medicaid program, including how it is financed, whom it covers and the role of Medicaid under the Affordable Care Act (ACA).