On Thursday, February 23, the Kaiser Family Foundation will host a web briefing for journalists to explain how block grant and per capita cap spending proposals for Medicaid would work and what the possible implications are.
Featured Medicaid’s Future Resources
In this analysis, we present three scenarios of reductions in federal Medicaid spending and examine fiscal implications if states fill these financing gaps to maintain their programs and if all reductions are assumed to be in full effect in FFY 2015 (the most recent year for which Medicaid spending data is available). To fill these gaps in financing and maintain current Medicaid programs, we assume states will increase state spending for Medicaid by increasing state taxes or reducing education spending. This analysis is unlike the CBO estimate, which makes projections and accounts for changes in policy, state responses to make changes to Medicaid programs, and reductions in coverage.
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Related Medicaid’s Future Resources
- Medicaid’s Role in Addressing the Opioid Epidemic
- Medicaid Restructuring Under the American Health Care Act and Implications for Behavioral Health Care in the US
- What Coverage and Financing is at Risk Under a Repeal of the ACA Medicaid Expansion?
- Medicaid’s Role: What’s at Stake Under a Block Grant or Per Capita Cap?
- Data Note: Review of CBO Medicaid Estimates of the American Health Care Act
- 5 Key Questions: Medicaid Block Grants & Per Capita Caps
- Key Themes in Section 1115 Medicaid Expansion Waivers
- 3 Key Questions: Section 1115 Medicaid Demonstration Waivers
- Expansion states are split between Republican and Democratic governors as of January 2017.
- Medicaid State Fact Sheets
- Data Note: Variation in Per Enrollee Medicaid Spending Across States
- Current Flexibility in Medicaid: An Overview of Federal Standards and State Options
- The Effects of Medicaid Expansion under the ACA: Updated Findings from a Literature Review
- Views of Governors and Insurance Commissioners on ACA Repeal and Changes to Medicaid: Responses to a Congressional Request for State Input on Health Reform
- An Early Look at Medicaid Expansion Waiver Implementation in Michigan and Indiana
- Key Issues in Children’s Health Coverage
- Medicaid Pocket Primer
- Interactive Maps: Estimates of Enrollment in ACA Marketplaces and Medicaid Expansion
- Medicaid Financing: The Basics
- Medicaid Timeline
- Proposed Changes to Medicaid Expansion in Kentucky
This brief describes Medicaid’s role for nearly 7 million nonelderly adults with disabilities living in the community to help inform the debate about the American Health Care Act’s proposals to end enhanced federal funding under the ACA and reduce federal Medicaid funding under a per capita cap.
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As Republicans in Washington pursue efforts to repeal and replace the Affordable Care Act, what do enrollees in ACA marketplaces and state Medicaid expansions who voted for President Trump want in a health care plan? The Kaiser Family Foundation asked some of them in six focus groups convened in December…
President Donald Trump and Republicans in Congress are moving to follow through on their campaign promise to repeal and replace the Affordable Care Act (ACA). To gain a better understanding of the personal experiences of Trump voters with health coverage provided through the ACA and the changes they hope to see in the health system moving forward, the Kaiser Family Foundation (KFF) held focus groups in December 2016 with Trump voters in cities in three battleground states (Michigan, Ohio, and Pennsylvania), who had coverage through the Marketplaces or through the Medicaid expansion. This brief and companion video highlight and summarize the range of perspectives expressed at the focus group sessions.
This brief outlines Medicaid’s role for Medicare beneficiaries. It describes the role that Medicaid plays for 10 million Medicare beneficiaries to help inform upcoming debates about proposals to restructure Medicaid financing in ways that could reduce federal funding.
This brief provides an overview of work status of non-disabled, adult Medicaid enrollees and examines some of the policy proposals around tying Medicaid coverage to work. It finds that, among non-disabled, non-elderly Medicaid adults (including parents and childless adults — the group targeted by the Medicaid expansion) nearly 8 in 10 live in working families, and a majority are working themselves. However, nearly half of working Medicaid enrollees are employed by small firms, and many work in industries with low ESI offer rates. Among those who were not working, most report major impediments to their ability to work. Under current law, states cannot impose a work requirement as a condition of Medicaid eligibility, but some states have sought to impose a work requirement for the Medicaid expansion population through waivers. The issue of work requirements may be re-examined by the new administration and may be debated in Congress as part of broader efforts to restructure Medicaid financing and core federal requirements.
Section 1115 Medicaid demonstration waivers provide states an avenue to test new approaches in Medicaid that differ from federal program rules. Waivers can provide states considerable flexibility in how they operate their programs, beyond what is available under current law, and can have a significant impact on program financing. This brief answers key questions about Section 1115 waiver authority, the current landscape of demonstration waivers and what to watch going forward.
Data Note: Data Do Not Support Relationship Between States’ Medicaid Expansion Status and Home and Community-Based Services Waiver Waiting Lists
Some policymakers have been discussing whether state choices to adopt the ACA’s Medicaid expansion come at the expense of providing Medicaid home and community-based services (HCBS) to seniors and people with disabilities. This data note analyzes Medicaid HCBS waiver waiting list data for 2014 and 2015 and concludes that there does not appear to be a relationship between a state’s Medicaid expansion status and changes in its HCBS waiver waiting list.
In this Washington Post op-ed, Drew Altman discusses how Republicans’ ideas to change Medicaid and Medicare and repeal the Affordable Care Act would fundamentally change the federal role in health, calling it: the biggest change in health we are NOT debating.
As policymakers in Washington discuss Affordable Care Act repeal and a possible block grant for Medicaid, a new issue brief from the Kaiser Family Foundation lays out key questions to consider in restructuring federal financing of the nation’s health insurance program for low-income Americans. Capping federal funding for Medicaid through a…
This issue brief describes the role that Medicaid plays in covering a wide range of medical and long-term care services, many of which are not covered or limited under private insurance, and making coverage affordable for many children with special health care needs and their families.