Medicaid today: preparing for tomorrow : a look at state Medicaid program spending, enrollment, and policy trends : results from a 50-state Medicaid budget survey for state fiscal years 2012 and 2013
- Collection:
- Health Policy and Services Research
- Author(s):
- Smith, Vernon K., author Gifford Kathleen, author Ellis, Eileen, author Rudowitz, Robin, author Snyder, Laura, author
- Contributor(s):
- Henry J. Kaiser Family Foundation, issuing body. Kaiser Commission on Medicaid and the Uninsured, issuing body.
- Publication:
- Washington, DC : Henry J. Kaiser Family Foundation, October 2012
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Health Expenditures -- trends Health Policy -- trends Medicaid -- trends United States United States.
- Genre(s):
- Technical Report
- Abstract:
- After experiencing the impacts of the worst economic downturn since the Great Depression, state policy makers were finally beginning to see signs of economic recovery at the end of state fiscal year (FY) 2012 and heading into FY 2013. State revenue growth was positive and neither Medicaid spending nor enrollment was growing at the high rates seen only a few years before. Cost pressure and cost containment were still dominant themes, but states were also now able to consider positive program changes, payment and delivery system reforms and continue efforts to re-orient long-term care programs to community-based care models. Eligibility rules for Medicaid remained stable due to the maintenance of eligibility (MOE) protections that were part of health reform legislation, and a number of states adopted targeted eligibility expansions or simplified enrollment procedures. States now are also preparing for the new role for Medicaid in the implementation of the Patient Protection and Affordable Care Act (ACA). As passed, the ACA would expand Medicaid beginning in January 2014 to nearly all adults with incomes up to 133 percent of the federal poverty level (FPL) ($14,856 per year for an individual in 2012). The Congressional Budget Office (CBO) estimated that across all states the ACA changes would add 17 million new enrollees to Medicaid by 2016. Under the June 2012 Supreme Court ruling, the Secretary's authority to enforce the ACA Medicaid expansion requirement is limited, and state policy makers will decide whether or when to implement the Medicaid expansion. Election year politics and looming discussions about federal deficit reduction serve as a backdrop and context for state decision making. The findings in this report are drawn from the 12th consecutive year of the Kaiser Commission on Medicaid and the Uninsured (KCMU) and Health Management Associates (HMA) budget survey of Medicaid officials in all 50 states and the District of Columbia. This survey reports on trends in Medicaid spending, enrollment and policy initiatives for FY 2012 and FY 2013. The report describes policy changes in reimbursement, eligibility, benefits, delivery systems and long-term care, as well as detailed appendices with state-by-state information, and a more in depth look through four state-specific case studies of the Medicaid budget and policy decisions in Massachusetts, Ohio, Oregon and Texas.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
- Extent:
- 1 online resource (1 PDF file (126 pages))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 101598324 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/101598324