MENU

HEALTHCARE

Healthcare

States spend more than $200 billion annually for health care for the poor and medically needy, according to the State Budget Crisis Task Force.

Medicaid has taken up a larger share of state budgets in recent years, with the program's expenses totaling approximately one quarter of total state expenditures, according to the National Association of State Budget Officers. This has a dual effect on state budgets during economic downturns, as states face an increasing demand for Medicaid services while the revenue available to pay for those services declines. New York spends $54 billion per year on Medicaid, the most of any state.

The impact of Obamacare on state budgets remains to be seen, and governors have had varied responses to the Supreme Court decision upholding the law which would increase the number of Medicaid enrollees, but not penalize the states that do not participate.

SBS is here to keep you informed and armed with healthcare solutions.

 

  • Breaking News
  • Research
  • Solutions
  • Commentary
    • HEADLINES: Kansas

      Medicaid expansion in Kansas on hold until at least 2015

      Washington Post - GovBeat | by Niraj Chokshi | April 21, 2014

      If Kansas opts to expand Medicaid, it won’t happen until at least next year.

    • HEADLINES: Michigan

      House appropriations committee signs off on $36 billion state budget

      The Detroit Free Press | by Kathleen Gray | April 18, 2014

      The first action taken by the House Appropriations committee as it considered the state's $36.3 billion budget for the 2014-15 fiscal year, was to add $110 million to the Department of Community Health budget to fix a shortfall in Health Insurance Claims Assessment Medicaid reimbursement payments.

    • HEADLINES: New York

      NY gets federal OK to reinvest $8B in Medicaid savings

      The Albany Times Union | by Claire Hughes | April 15, 2014

      The long-awaited waiver is $2 billion short of what the state had asked for in 2012.

    • HEADLINES: Virginia

      Va. counties urge budget adoption; take no stand on Medicaid

      The Richmond Times-Dispatch | by Michael Martz | March 27, 2014

      The association, representing 95 counties, sent a letter to House Speaker William J. Howell that urges the legislature to end a budget stalemate that already has spilled into a special session that threatens to delay passage of a budget at least a month and likely longer.

    • HEADLINES: Missouri

      Mo. House Blocks Medicaid Expansion, Sets Aside $6M For New State Park, While Approving State Budget

      KBIA.com | by Marshall Griffin | March 26, 2014

      House members spent most of Tuesday bringing up amendments they hoped to add on to the FY 2015 budget, including two attempts to expand Medicaid. Both failed.

    • HEADLINES: Virginia

      McAuliffe offers new budget, but House lawmakers aren't buying

      The Washington Post | by Laura Vozzella | March 25, 2014

      Gov. Terry McAuliffe tried to shake up Virginia's deadlocked Medicaid debate Monday by proposing a new budget that would expand the health-care program and shower a projected $225 million in related savings on teachers, state employees, pre-kindergarten programs and other Democratic priorities.

    • HEADLINES: Virginia

      McAuliffe 2-Year Budget to Include Push for Healthcare Expansion

      NBC29.com | March 20, 2014

      Republicans want to pass a budget without healthcare expansion, and consider the issue separately. Democrats say that's not going to happen. And both sides say they're not budging any time soon.

    • HEADLINES: Colorado

      CO State Budget: Balancing Wants and Needs

      Public News Service | March 17, 2014

      Henry Sobanet, director of the Office of State Planning and Budgeting, said that, while things are certainly looking up in terms of state revenue, recovery won't be instantaneous, and he also said it's important the state prepare for another economic downturn in the future.

      said that, while things are certainly looking up in terms of state revenue, recovery won't be instantaneous, and he also said it's important the state prepare for another economic downturn in the future. - See more at: http://www.publicnewsservice.org/2014-03-17/civic-engagement/co-state-budget-balancing-wants-and-needs/a38145-1#sthash.9zhtuF1P.dpufsaid that, while things are certainly looking up in terms of state revenue, recovery won't be instantaneous, and he also said it's important the state prepare for another economic downturn in the future.
      said that, while things are certainly looking up in terms of state revenue, recovery won't be instantaneous, and he also said it's important the state prepare for another economic downturn in the future. - See more at: http://www.publicnewsservice.org/2014-03-17/civic-engagement/co-state-budget-balancing-wants-and-needs/a38145-1#sthash.9zhtuF1P.dpuf
    • HEADLINES: South Dakota

      SD Legislature passes $4.3 billion state budget

      Associated Press | March 17, 2014

      The South Dakota Legislature passed a $4.3 billion spending plan Friday that gives extra state money to teachers, the state’s four technical institutes and some nursing homes and other health care facilities that serve low-income people.

       

    • HEADLINES: Virginia

      State budget impasse makes planning hard for local governments

      WVEC.com | March 12, 2014

      Local governments in Virginia can't plan their budgets until they know how much money they'll receive from the state. That puts fire, police, and schools in limbo.


    • 1  2  3  4  5  6  7  8  9  10   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

      Forecasting the Recovery from the Great Recession: Is This Time Different?

      The National Bureau of Economic Research | by Kathryn Dominguez & Matthew Shapiro | February 4, 2013

      Was the slow recovery of the U.S. economy from the trough of the Great Recession anticipated? 

    • 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

      Total Medicaid Spending, FY2010

      StateHealthFacts.org | May 8, 2012

      A map and chart ranking Medicaid spending for each of the 50 states in FY2010.

    • RESEARCH

      State and Local Governments' Fiscal Outlook

      In the long term, the decline in the sector's operating balance is primarily driven by the rising health-related costs of state and local expenditures on Medicaid and the cost of health care compensation for state and local government employees and retirees.

    • RESEARCH

      2011 State Employee Health Benefits: Monthly premium costs (family and individual coverage)

      Among the 50 state employee health benefit plans, there is considerable variation in premium rates and in how the costs are shared between the state and employee.The average premium for a standard family policy was $1,377.03, with the state paying an average of $1,096.63 (80 percent) and the employee paying the remainder. (Based on 42 states.) The average premium rate for the lowest cost family insurance option was $1,101.28, with the state paying an average of $974.66 (88 percent).


    • 1  2   Next

    • 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 Mexicoís $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.

    • SOLUTIONS: Texas

      Medicaid Reform

      Texas Public Policy Foundation | by Arlene Wohlgemuth, Brittani Miller, and Spencer Harris | February 28, 2011

      Incremental policy changes are not sufficient to address the projected doubling of costs every decade. Texas now has the opportunity to reform the state's Medicaid program for the better. Reform must be carefully designed to ensure against recreating the same problems that have plagued Medicaid since its inception: rising caseloads and mandated benefits.

    • SOLUTIONS: Pennsylvania

      Medicaid Reform

      Commonwealth Foundation | by Michael Bond | February 28, 2011

      Medicaid, the joint federal/state program that was created to provide health care for the poor, celebrated its 40th birthday in 2006. There was no party for the program, however. In Pennsylvania and around the nation, Medicaid is growing at an unsustainable rate and threatens both state and federal budgets.

    • SOLUTIONS: Louisiana

      Cajun Care: Medicaid Reform in Louisiana

      The Pacific Research Institute | by Adam Frey | February 28, 2011

      Louisiana governor Bobby Jindal, and Health Secretary Alan Levine, both veterans of Medicaid reform, have developed a plan based on key reforms such as accountability, consumer choice, cost efficiency, marketplace competition, and transparency.

    • SOLUTIONS: New York

      49 Suggestions for Cutting Billions in State's Medicaid Costs

      February 16, 2011

      Personal shopping and cleaning services for the disabled would be eliminated, weak hospitals could be merged and brand-name drugs would be limited under a series of budget-cutting proposals announced by the New York State Health Department.

    • SOLUTIONS: New York

      Blueprint for a Better Budget

      April 9, 2010

      The document explains why and how New York state developed such massive budget deficits and identifies programmatic changes to begin closing the gaps, including privatization and competitive contracting, cost reductions and tax policy goals to promote economic growth.


    • Previous   1  2