States and Medicaid Provider Taxes or Fees
This is an update on the use of Medicaid provider taxes and fees. It also includes information on which states would be affected by changing the safe harbor threshold from 6% to 5.5%.
View the Latest: Financing
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No Easy Choices: 5 Options to Respond to Per Capita Caps
Issue BriefUnder 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 cuts, reduce benefits, limit coverage of high cost enrollees, reduce rates or implement delivery system reforms, and promote personal responsibility. Each option has challenges that are identified in the brief.
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Strategies to Reduce Medicaid Spending: Findings from a Literature Review
Issue BriefThis issue brief considers the feasibility of realizing substantial Medicaid cost savings through strategies aimed at improving delivery system and administrative efficiency. We review the literature about the potential for Medicaid cost savings from four strategies related to acute care services: (1) premiums, cost-sharing, and enrollee wellness incentives, (2) complex care management, (3) patient-centered medical homes, and (4) alternative payment models, and another four strategies related to long-term services and supports: (5) tightening financial eligibility rules for long-term care services, (6) promoting private long-term care insurance, (7) expanding home and community-based services (HCBS), and (8) increasing use of managed long-term services and supports.
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Data Note: Review of CBO Medicaid Estimates of the American Health Care Act
Issue BriefThis data note reviews the Medicaid estimates included in the American Health Care Act prepared by the Congressional Budget Office (CBO) and staff at the Joint Committee on Taxation (JCT).
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Modeling the Impact of Global Health Budget Cuts on HIV, TB, Family Planning, and Maternal, Newborn, and Child Health
News ReleasePresident Trump’s fiscal year 2018 budget request would cut global health programs by approximately $2.5 billion. As Congress begins considering the Administration’s request, a new Kaiser Family Foundation analysis models the potential impact of the Administration’s proposed budget, as well as two budget scenarios with more modest decreases.
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Data Note: Variation in Per Enrollee Medicaid Spending
Fact SheetThis data note looks at Medicaid spending per full-benefit enrollee, examining variation by state and by eligibility group, as well as variation within a given state and eligibility group.
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White House Releases FY18 Budget Request
Fact SheetThe White House released its FY 2018 budget request to Congress on May 23, 2017, which includes significant cuts to global health funding.
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Financing Family Planning Services: The Impact of Reducing or Eliminating Funding
News ReleaseThe American Health Care Act recently passed by the House of Representatives includes a provision to ban federal Medicaid funding of Planned Parenthood. The Trump administration has also proposed reducing funding to HHS, which funds the Title X family planning program and community health centers.
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Congress Releases FY17 Omnibus
Fact SheetOn May 1, 2017, Congress released the FY 2017 Omnibus bill (and explanatory statements), which provides funding for the U.S. government through the rest of the fiscal year including for U.S. global health programs at the U.S. Agency for International Development (USAID), the Department of State, and the Centers for Disease Control and Prevention (CDC).
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U.S. Global Health Funding in Draft FY18 Budget Request
Fact SheetAs reported in Foreign Policy, a draft of the Trump administration’s FY18 budget request for the State Department and USAID, expected to be submitted in full to Congress in May, proposes significant cuts to global health funding. According to a document obtained by Foreign Policy, funding for global health programs would total $6.