Health Care Financing - Research and Data from KFF

Build Back Better Would Reduce Disproportionate Share Hospital (DSH) Payments and Limit Uncompensated Care (UCC) Pools in Non-Expansion States

Nov 19, 2021

Policy Watch

The Build Back Better (BBB) Act proposes reducing disproportionate share hospital (DSH) allotments by 12.5% starting in federal fiscal year (FFY) 2023 and places limits on Medicaid uncompensated care (UCC) pools for non-expansion states. This policy watch explains what these payments are, what changes have been tied to the ACA, and examines potential implications of changes included in the BBB.

Donor Government Funding for Family Planning in 2020

Dec 10, 2021

Report

In 2020, donor government funding for family planning activities totaled US$1.40 billion, a decline of more than US$100 million compared to the 2019 amount (US$1.52 billion).

Fiscal Implications for Medicaid of Enhanced Federal Funding and Continuous Enrollment

Jun 16, 2023

Issue Brief

This brief examines how Medicaid spending changed during the continuous enrollment period and estimates the amount of enhanced federal funding states received during the continuous enrollment period.

States Received Over $117 Billion in Enhanced Federal Medicaid Funding for Pausing Disenrollments During the Pandemic; Non-Expansion States Received a Disproportionate Share

Jun 16, 2023

News Release

A new KFF analysis finds that states received over $117 billion in enhanced federal Medicaid funding in exchange for pausing disenrollments during the first three years of the pandemic. The injection of federal money enabled states to spend less of their own funds on Medicaid even as enrollment rose by more than 23 million people nationally and total Medicaid spending increased by billions of dollars. Pandemic-era enrollment protections expired in March, and in April states…

Senate Appropriations Committee Approves FY 2024 State, Foreign Operations, and Related Programs (SFOPs) Appropriations Bill

Jul 21, 2023

Fact Sheet

The Senate Committee on Appropriations approved the FY 2024 State, Foreign Operations, and Related Programs (SFOPs) appropriations bill, accompanying report, and amendments on July 20, 2023. The SFOPs bill includes funding for U.S. global health programs at the State Department and the U.S. Agency for International Development (USAID). Funding for these programs, through the Global Health Programs (GHP) account, which represents the bulk of global health assistance, totaled $10.3 billion, a decrease of $239 million…

As Debate Heats Up in Washington Over Possible Entitlement Cuts, A New KFF Analysis Details the 30% of Federal Spending That Goes to Health Care Programs

Mar 1, 2023

News Release

As some policymakers in Washington are pushing to reduce the federal deficit and debt, a new KFF resource provides a concise explanation of federal spending for domestic and global health programs and services, which could be part of any conversation about curbing federal spending. Federal spending on health programs and services accounted for 30 percent of net federal spending in fiscal year 2022 -- or $1.7 trillion out of a total of $5.9 trillion. Specifically,…

The Estimated Value of Tax Exemption for Nonprofit Hospitals Was About $28 Billion in 2020

Mar 14, 2023

Issue Brief

This data note estimates that the value of tax exemption for nonprofit hospitals was $28 billion in 2020. This amount exceeds estimated charity care costs among nonprofit hospitals in 2020 ($16 billion), though charity care represents only a portion of the community benefits reported by nonprofit hospitals.

Medicaid: What to Watch in 2023

Jan 24, 2023

Issue Brief

As 2023 kicks off, a number of issues are at play that could affect coverage and financing under Medicaid. This issue brief examines key issues to watch in Medicaid in the year ahead.

The New Pandemic Fund: Overview and Key Issues for the U.S.

May 30, 2023

Issue Brief

This brief offers an overview of the new multilateral global health financing mechanism known as the Pandemic Fund, which is housed at the World Bank. The brief reviews the evolution of the Fund, its current financial status and donors, U.S. engagement, and policy issues going forward.

Medicaid Expansion Enrollment and Spending Leading up to the COVID-19 Pandemic

Jan 12, 2021

Issue Brief

This issue brief analyzes enrollment and spending trends related to the Affordable Care Act’s Medicaid expansion ahead of the coronavirus pandemic and examines potential consequences of recent enrollment increases.

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