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  • 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…

  • At Least 37 States Have Medicaid State Directed Payments for Hospital Services That Could Be Reduced by the 2025 Reconciliation Law Limits

    Analysis: At Least 37 States Have Medicaid State Directed Payments for Hospital Services That Could Be Reduced by the 2025 Reconciliation Law Limits

    News Release

    An estimated $60 billion in federal Medicaid spending in 37 states (including the District of Columbia) would likely exceed new federal limits on state directed payments for hospital services once fully implemented, a new KFF analysis finds. States with the biggest potential reductions in Medicaid payments to hospitals include California, Illinois, Kentucky, Texas, North Carolina, Louisiana, Arizona and Michigan.

  • Raising the Age of Medicare Eligibility: A Fresh Look Following Implementation of Health Reform

    Report

    Several major deficit-reduction and entitlement reform proposals include raising Medicare's age of eligibility from 65 to 67 as a way of improving Medicare's solvency. This Kaiser Family Foundation report estimates the expected effects of such a change on the federal budget, as well as on affected seniors' out-of-pocket costs, employers, Medicaid and others in light of the major changes in coverage enacted under the 2010 health reform law. The study estimates that raising Medicare’s eligibility…

  • House Passes Minibus That Includes Global Health Funding In FY 2020 State & Foreign Operations (SFOPs) and Health & Human Services (HHS) Appropriations Bills

    Fact Sheet

    On June 19, 2019, the House passed a package of FY 2020 appropriations bills (minibus), which included global health funding for the U.S. Department of State, U.S. Agency for International Development (USAID), and U.S. Department of Health and Human Services (HHS). Global health funding amounts in the minibus bill matched those provided in FY 2020 appropriations bills previously passed by the House Appropriations Committee. Please see the KFF summaries on the House Appropriations Committee approval…

  • FY19 Conference Agreement Released, Includes State & Foreign Operations (SFOPs) Funding

    Fact Sheet

    The FY19 Conference Agreement, which includes funding for State & Foreign Operations (SFOPs), was released on February 13, 2019. The SFOPs section of the bill includes funding for U.S. global health programs at the State Department and the U.S. Agency for International Development (USAID). Key highlights are as follows (see table for additional detail): Funding provided to the State Department and USAID through the Global Health Programs (GHP) account, which represents the bulk of global health…

  • “Partial Medicaid Expansion” with ACA Enhanced Matching Funds: Implications for Financing and Coverage

    Issue Brief

    The Affordable Care Act (ACA) provides enhanced federal matching funds to states that expand Medicaid to nonelderly adults up to 138% of the federal poverty level (FPL, $17,236/year for an individual in 2019). The ACA enhanced match (93% in 2019, and 90% in 2020 and thereafter) is substantially higher than states’ traditional Medicaid matching rate. A few states have sought Section 1115 demonstration waiver authority from the Centers for Medicare and Medicaid Services (CMS) to…

  • Medicare Advantage 2010 Data Spotlight: Plan Availability and Premiums

    Issue Brief

    This data spotlight examines changes in the availability and premiums of private Medicare Advantage options for Medicare beneficiaries in 2010 as the annual open enrollment period begins. While the number of plans available in 2010 declined somewhat from 2009, the analysis finds that Medicare beneficiaries on average have 33 Medicare Advantage plans to choose from. For Medicare Advantage enrollees who stay in the same plan in 2010, monthly premiums will increase by 32 percent on…