This policy brief explains the current Medicaid financing arrangements between federal, state and local governments, examines the role of Medicaid in federal and state budgets, and identifies severalimportant considerations on evaluating proposals to limit federal Medicaid spending.Policy Brief: Medicaid and Federal, State, and Local Budgets
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TennCare represents one of the most ambitious state-level efforts to restructure Medicaid and expand insurance coverage to the uninsured. The case study shows that the rapid change caused considerable confusion for patients, providers, and health plans. The TennCare experience provides early insights into the issues that states will face as they move to enroll more of their low-income populations into managed care arrangements.
To gather early insights and timely information for state and federal policymakers concerning how the movement to managed care is affecting the poor and their access to care, the Henry J. Kaiser Family Foundation and The Commonwealth Fund are jointly sponsoring case studies and population surveys in California, Minnesota, New…
This paper analyzes the rapid growth in the Medicaid program during the 1988 – 1992 period. It also explains the dramatic slowdown on growth that occurred in 1993 and suggests a likely course of Medicaid expenditure increases over the remainder of the decade.Report: The Implications Of Past Medicaid Spending Growth…
Survey Shows “Two Faces” Of Public Opinion On Welfare Reform Americans Support Time Limits and Tough Work Requirements, But Reluctant to Abandon Those In Need Public Defines Welfare Broadly Understands Key Details of Welfare Programs Embargoed for release: 9:00 a.m. EST, Thursday, January 12, 1995 For further information contact: Matt…
This case study describes the first year’s experience of Tennessee’s initiative, TennCare. The TennCare experience provides early insights into the issues that states will face as they move to enroll more of their low-income populations into managed care arrangements.
Medicaid Disproportionate Share and Other Special Financing Programs: A Fiscal Dilemma for the States and The Federal Government
This paper presents the results of a survey of 39 states and their DSH payments and the special financing arrangements in those states.Report: Medicaid Disproportionate Share and Other Special Financing Programs: A Fiscal Dilemma
An analysis of the potential financial impact of the California Health Security Act — the single payer initiative defeated by voters on the November 1994 ballot — on the state's budget and health expenditures, businesses, and families. Potential barriers to implementation such as waivers, exemptions, and legislative changes, particularly with…
Report: Medicaid and Health System Reform: The Potential for Integration into an Employer-Based System
This paper provides a detailed analysis of the fiscal impact of the Clinton Administration's Health Security Act (HSA) on states. The various subsidies in the HSA are examined as well as the impact of many proposed changes in Medicaid.Report: The Fiscal Impact Of The Clinton Health Reform Proposal On States