Medicaid

Medicaid Work Requiremnts

Tracking Medicaid Work Requirements: Data and Policies

To implement Medicaid work requirements, states will need to make important policy and operational decisions, implement needed system upgrades or changes, develop new outreach and education strategies, and hire and train staff, all within a relatively short timeframe. KFF is tracking key data and policy information related to Medicaid work requirements and how states are approaching implementation.

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understanding medicaid

Medicaid Financing

Medicaid represents $1 out of every $5 spent on health care in the U.S. and is the major source of financing for states to provide health coverage and long-term care. This brief examines key questions about Medicaid financing and how it works.

Medicaid Program Integrity

This brief explains what is known about improper payments and fraud and abuse in Medicaid and describes ongoing state and federal actions to address program integrity.

Medicaid and Provider Taxes

All states except Alaska cover some state Medicaid costs with taxes on health care providers. This brief uses data from KFF’s 2024-2025 survey of Medicaid directors to describe current practices and the federal rules governing them.

Medicaid and Hospitals

Absorbing reductions in Medicaid spending could be challenging for hospitals, particularly for those that are financially vulnerable. This brief provides data on the reach of Medicaid across hospitals, patients, and charity care.

Medicaid Home Care

This issue brief provides an overview of what Medicaid home care (also known as “home- and community-based services”) is, who is covered, and what services were available in 2025.

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  • Key Themes From Delivery System Reform Incentive Payment (DSRIP) Waivers in 4 States

    Issue Brief

    Building on an earlier brief that provided an overview of the components of DSRIP waivers, this analysis relied upon interviews with stakeholders to identify emerging trends and themes from DSRIP waivers in four states – California, Massachusetts, New York and Texas. It highlights that DSRIP waivers are spurring major change in relationships among providers; allowing providers to launch new initiatives aimed at improving care and reducing costs; and fostering a stronger focus on the social…

  • Medicaid at 50: A Look Back – And Ahead

    Event Date:
    Event

    Medicaid, the main health insurance program for low-income people and the single largest source of public coverage in the U.S., turns 50 this year. In that time, it has grown to cover nearly 70 million Americans and become a key source of financing for safety net hospitals and health centers, as well as the main source of coverage and financing of long-term care. The program continues to be a focus of policy debate and partisan…

  • Public vs. Private Health Insurance on Controlling Spending

    News Release

    In his latest column for The Wall Street Journal's Think Tank, Drew Altman analyzes whether public or private health insurance does a better job of controlling costs. All previous columns by Drew Altman are available online. 

  • Faces of Medicaid

    Video

    The "Faces of Medicaid" video series highlights the range of experience and diverse roles that Medicaid plays in the lives of Americans across the U.S. These stories of individuals on Medicaid go beyond statistics and provide insight into the range of personal experiences with the program.

  • Proposed Medicaid Expansion in Utah

    Fact Sheet

    This fact sheet provides a summary of the proposal to expand Medicaid in Utah. This has not been officially submitted to CMS and needs state legislative approval before it could be implemented.

  • Health Care One Year After Hurricane Katrina

    Event Date:
    Event

    Health Care One Year After Hurricane Katrina Extended interviews with survivors and a related film, "Voices of the Storm: Health Care After Katrina," are available below. August 29, 2006, marks the first anniversary of Hurricane Katrina's catastrophic landfall. The Kaiser Family Foundation continues its commitment to help respond to the devastation from Hurricane Katrina with new resources about the health care impact of Katrina's aftermath. At a forum held on August 8, the Foundation released…

  • Olmstead at Five:  Assessing the Impact

    Report

    This report examines the impact of Olmstead v. L.C. five years after the United States Supreme Court’s 1999 landmark decision. The analysis brings together new research with a synthesis of research undertaken over the past five years, to help policymakers and program administrators understand the meaning of the Americans with Disabilities Act for health programs in Olmstead’s aftermath. Report (.pdf) Related Olmstead Materials

  • Center on Budget and Policy Priorities Overview of Medicaid

    Report

    "DSH" Provisions...the Balanced Budget Act of 1997, P.L. 105-33 This report was prepared by the Center on Budget and Policy Priorities for the Kaiser Commission on the Future of Mediciad. Report: Overview of Medicaid "DSH" Provisions...the Balanced Budget Act of of 1997, P.L. 105-33

  • Health Care and the 2004 Elections: Long Term Care

    Issue Brief

    Long Term Care Download a printable .pdf of Health Care and the 2004 Elections: Long Term Care. IssueBackgroundOptions for Addressing Long Term Care NeedsAssessing Candidate Positions Issue Millions of elderly and disabled Americans need long-term care services and supports. The aging of the population in the United States over the next several decades is expected to increase the demand for long-term care services. The number of elderly persons in the United States is projected to…