MENU

MEDICAID

Medicaid

Though the federal government provides some Medicaid funds via matching rates, this welfare program has been taking up a larger and larger share of state budgets in recent years. In fact, Medicaid is the largest category of state spending, accounting for 23.6 percent of state budget expenditures according to the National Association of State Budget Officers.  That percentage is likely to increase over time.

Like other welfare programs, this has a dual effect on state budgets during economic downturns because states face an increasing demand for Medicaid services while their revenues to pay for those services decline. Governors in the states are taking different approaches to deal with this problem. SBS President Bob Williams maintains that the Medicaid system needs to be fixed before it is expanded.

  • Breaking News
  • Research
  • Solutions
  • Commentary
    • HEADLINES: New York

      Medicaid overhaul saves $600M

      The Albany Times-Union | by Casey Seiler | October 6, 2011

      This year, the state Medicaid rolls added roughly 72,000 people through August. The system currently includes 4.96 million people, almost a quarter of the total state population.

    • HEADLINES: California

      Lawsuit against state targets Medi-Cal cutbacks

      The Fresno Bee | by Kevin Yamamura | October 4, 2011

      Doctors and pharmacists are suing California over the latest round of Medi-Cal budget cuts, saying the state has refused to show what impact the reductions would have on health care for low-income patients.

    • HEADLINES

      Health-Care Costs May Become Biggest State Expense, Fitch Says

      Bloomberg | by Andrea Riquier | September 28, 2011

      Medicaid represents the biggest share of federal aid to states, according to Fitch Ratings.

    • HEADLINES: Wisconsin

      State starts making public Medicaid cut proposals

      Businessweek | by Scott Bauer | September 27, 2011

      Gov. Scott Walker's administration unveiled a website that includes a handful of Medicaid cost-savings proposals intended to help it reach required cuts of about $500 million over the next two years.

    • HEADLINES: New Hampshire

      Senate: Budget hole not our issue

      The Concord Monitor | by Matthew Spolar | September 22, 2011

      As the House starts looking for ways to cut the state budget over the next couple weeks to fill a potential $35 million hole from the misuse of Medicaid funds, top senators say the task should be left to the governor.

    • HEADLINES: New Hampshire

      State to propose $35 million in cuts

      The Concord Monitor | by Matthew Spolar | September 14, 2011

      As the state hopes it doesn't have to repay the federal government $35 million in Medicaid fundingNew , a contingency plan to cut that amount from the two-year budget will be introduced today in the House.

    • HEADLINES: Oregon

      Oregon races to transform health care in time to balance state budget

      OregonLive.com | by Bill Graves | September 10, 2011

      The state budget assumes the transformed health plan will be up and running next summer -- quickly enough to save $249 million in Medicaid costs in the second year of the 2011-13 biennium. If it doesn't, the state will have to find money to fill the hole or cut Medicaid payments, already down 11 percent this year.

    • HEADLINES: North Carolina

      N.C. Medicaid cuts take hold in October

      The Charlotte Observer | by Lynn Bonner | August 28, 2011

      The Medicaid service reductions were included in Gov. Bev Perdue's proposed budget and adopted by the legislature. More health care limits may come as the state Medicaid office looks for more savings in the program.

    • HEADLINES: New York

      NY seeks salary, compensation data from nonprofits

      The Wall Street Journal | August 26, 2011

      Governor Andrew Cuomo set up the task force in response to newspaper reports that revealed "startlingly excessive salaries and compensation packages for executives at not-for-profits that depended on state Medicaid."

    • HEADLINES: Utah

      Utah's Medicaid not the budget-buster you might think

      The Salt Lake Tribune | by Kirsten Stewart | August 25, 2011

      On a per-enrollee basis, Medicaid spending in Utah declined this past recession, as did spending on nursing homes, prescription drugs and inpatient hospital stays


    • Previous   16  17  18  19  20  21  22  23  24  25  26  27  28  29  30  31  32  33  34  35  36   Next

    • POLICY BRIEF: Oklahoma

      Medicaid expansion is the price to shift the balance of federalism

      State Budget Solutions | by Joe Luppino-Esposito | September 25, 2013

      The debate over Medicaid expansion is as much about federalism and the issue of state control as it is about money-because these are ultimately one in the same.

    • POLICY BRIEF: Virginia

      Medicaid Expansion: The Wrong Prescription for Virginia

      State Budget Solutions | by Joe Luppino-Esposito, Bob Williams | August 16, 2013

      Virginia's Medicaid commission is considering expansion, and this report explains some of the current problems with Medicaid coverage, anticipated problems with accepting Medicaid expansion and discuss alternatives and reforms that will better serve Virginians.

    • RESEARCH

      The Affordable Care Action's Optional Medicaid Expansion: Considerations Facing State Governments

      The Mercatus Center | by Charles Blahous | March 5, 2013

      In the wake of a 2012 Supreme Court ruling, states face complex decisions con cerning whether to expand Medicaid coverage as specified in the Affordable Care Act (ACA). With the federal government no longer able to coerce expansion, states must base their decisions on subjective value judgments that will vary from state to state, incorporating each state's unique budgetary circumstances, the needs of its uninsured population, and the incentives established by interactions between the ACA's provisions. A first important consideration is that states face substantial near-term Medicaid cost increases irrespective of coverage expansion decisions.

    • RESEARCH

      On Financing Retirement with an Aging Population

      The National Bureau of Economic Research | by Ellen McGrattan & Edward Prescott | February 4, 2013

      Alternative views on the problem the United States is facing: financing retirement consumption as its population ages.

    • RESEARCH

      States' Implementation of the Patient Protection and Affordable Care Act

      U.S. Government Accountability Office | August 1, 2012

      The Patient Protection and Affordable Care Act (PPACA), signed into law on March 23, 2010, made significant changes to the way eligibility for the Medicaid program will be determined and who the program will cover. State governments will play a key role in implementing many aspects of this reform, which must be in place by the beginning of 2014. States will need to address the financial implications of implementing this Medicaid expansion and accompanying enrollment systems.

    • RESEARCH

      State Budget Crisis Task Force Report

      State Budget Crisis Task Force | by Richard Ravitch and Paul Volcker | July 17, 2012

      State finances are not transparent and often include hidden liabilities as well as rapidly growing responsibilities which are difficult to control.  While state revenues are gradually recovering from the drastic decline of the Great Recession, they are not growing sufficiently to keep pace with the spending required by Medicaid costs, pensions, and other responsibilities and obligations.  This has resulted in persistent and growing structural deficits in many states which threaten their fiscal sustainability.

    • RESEARCH

      Health Spending by State of Residence, 1991 - 2009

      Centers for Medicare and Medicaid Services | by Gigi Cuckler | December 12, 2011

      An examination of Medicaid spending by state over a decade.  In 2009, the 10 states where per capita spending was highest ranged from 13 to 36 percent higher than the national average, and the 10 states where per capita spending was lowest ranged from 8 to 26 percent below the national average.

    • RESEARCH: Tennessee

      2011 Tennessee Pork Report

      The Tennessee Center for Policy Rsearch and Citizens Against Government Waste | by Justin Owen, Christopher Butler, & Ryan Turbeville | December 2, 2011

      The sixth-annual Tennessee Pork Report is chock-full yet again, of waste, fraud, abuse, and mismanagement of taxpayer money by state and local government officials. Despite a changing political landscape in Tennessee, wasteful government spending has not disappeared.

    • RESEARCH: Texas

      Final Notice: Medicaid Crisis

      Texas Public Policy Foundation | by Jagadeesh Gokhale | February 28, 2011

      This study examines the potential increase in Medicaid costs from ObamaCare for the State of Texas-one of several states that have challenged the validity of the individual health insurance mandate in court. This study constructs Texas' Medicaid spending projections under ObamaCare to reveal the implied increase in that state's Medicaid spending commitments from the new health care law.

    • RESEARCH

      The Rich Get Richer

      The Pacific Research Institute | by John Graham | February 28, 2011

      The biggest problem with the Medicaid expansion in the Senate health bill is not the "Cornhusker Kickback," but that it leverages an already flawed formula to determine federal payments to state Medicaid programs


    • 1  2   Next

    • SOLUTIONS: Florida

      Three Things You Can Do to Fix Health Care Now

      Foundation for Government Accountability | by Christie Herrera | December 6, 2012

      Three Things to Fix Health Care Now:

      #1: Reject the Health Insurance Exchange
      #2: Don't Expand Medicaid
      #3: Offer an Alternative

    • SOLUTIONS

      State Lawmaker’s Guide to Evaluating Medicaid Expansion Projections

      The Heritage Foundation | by Edmund F. Haislmaier and Drew Gonshorowski | October 17, 2012

      Supporters of Obamacare claim that expanding Medicaid will entail little to no cost to state governments, since the federal government will fund the vast majority of the additional costs. Indeed, some analyses project states achieving savings from adopting the expansion. However, state lawmakers should be wary of accepting such analyses at face value.

    • SOLUTIONS

      Medicaid Is Broken—Let the States Fix It

      The Wall Street Journal | by Paul Howard and Russell Sykes | October 15, 2012

      Block-granting Medicaid is the best way to deliver better, cost-effective care to the most vulnerable Americans.

    • SOLUTIONS: North Carolina , Florida

      Medicaid Reform

      Civitas Institute | by Brian Balfour | September 12, 2012

      Any serious attempt at state budget reform in North Carolina must include an examination of its Medicaid program. Costs have been soaring, and past cost-containment efforts have proven both insufficient and detrimental to enrollees' access to care. Moreover, Medicaid enrollees are merely passive participants in the program with little or no choices, and at the mercy of the whims of politicians.

    • SOLUTIONS

      Health Care Compact is real way to reform health care system

      by Keli Carender, Shonda Werry | March 26, 2012

      The Health Care Compact is an interstate compact - which is really just "an agreement between two or more states that is consented to by Congress" - that would return the authority and the responsibility to regulate health care back to the member states.

    • SOLUTIONS: Minnesota

      The very serious reasons for replacing MinnesotaCare with subsidies for private health insurance

      Center of the American Experiement | by Peter J. Nelson | November 29, 2011

      Replacing MinnesotaCare with a state subsidy for individually owned private health plans is one of the key parts of the effort to redesign how the state provides health care to the poor. This can save $100 million on childless adults and up to $600 million if everyone is included.

    • SOLUTIONS: Oregon

      Budget solution report offers 100 ideas

      The Taxpayer Foundation of Oregon | November 3, 2011

      In light of Oregon facing a budget crisis, the Taxpayer Foundation has issued a master list of budget balancing ideas that do not require raising taxes. These ideas have been collected from Oregon lawmakers, think tank groups, taxpayer organizations, unions, policy analysts, Democrats, Republicans and even ideas utilized in states across the nation.

    • SOLUTIONS: New Mexico

      Resolving New Mexico’s $450 million Deficit (without raising taxes or cutting K-12 education and Medicaid)

      The Rio Grande Foundation | by Paul J. Gessing and Kevin Rollins | October 31, 2011

      despite constraints that are both political and self-imposed, we believe that it is quite possible to reduce unnecessary and wasteful spending throughout the New Mexico budget. In order to provide a guide for policymakers, the Rio Grande Foundation has compiled a list of specific budget reduction ideas.

    • SOLUTIONS: Oklahoma, Indiana

      Ten Budget Reforms for 2012

      Oklahoma Council of Public Affairs | by Jonathan Small | August 4, 2011

      Establish limited priorities for Oklahoma’s state government. Once limited priorities are set, everything else should be considered according to these priorities. The state currently has hundreds of agencies, boards, and commissions; it’s no wonder there is chronic overspending and regular “revenue shortfalls.”

    • SOLUTIONS: Nebraska

      Medicaid The Need for Medicaid Reform Grows Larger After Obamacare

      The Platte Institute | by Brian Blasé and C.L. Gray, M.D. | August 1, 2011

      Replacing the current federal financing structure of Medicaid with fixed allotments to the states would help save both state and federal budgets. Without this policy change, states will dig further budgetary holes and the federal government will face an increased likelihood of a debt crisis.  If states received a non-fungible Medicaid block grant from the federal government rather than fungible matching funds, each state would have the incentive to reign in Medicaid spending.  If states were freed from the myriad federal mandates (such as the “maintenance of effort” clause of the Patient Protection and Affordable Care Act) they would gain the ability to run Medicaid efficiently.


    • 1  2   Next