On June 22, 2016, Governor Bevin released his proposed Section 1115 demonstration waiver application called Kentucky HEALTH (Helping to Engage and Achieve Long Term Health) as an alternative to the current Medicaid expansion which is being implemented through a state plan amendment according to the terms in the ACA. This fact sheet summarized the proposed changes to the current Medicaid expansion in Kentucky.
Featured Medicaid’s Future Resources
Related Medicaid’s Future Resources
- Medicaid and Work Requirements
- Key Themes in Section 1115 Medicaid Expansion Waivers
- Governors’ Proposed Budgets for FY 2018: Focus on Medicaid and Other Health Priorities
- 5 Key Questions: Medicaid Block Grants & Per Capita Caps
- Data Note: What if Per Enrollee Medicaid Spending Growth Had Been Limited to CPI-M from 2001-2011?
- Medicaid Restructuring Under the American Health Care Act and Nonelderly Adults with Disabilities
- Implications of Reduced Federal Medicaid Funds: How Could States Fill the Funding Gap?
- 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?
- 3 Key Questions: Section 1115 Medicaid Demonstration Waivers
- Data Note: Medicaid Managed Care Growth and Implications of the Medicaid Expansion
- 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
Under the Trump Administration, some Republican governors may look to move their Medicaid programs in a more conservative direction. In his latest column for Axios, Drew Altman discusses the arguments about Medicaid “work requirements” and why few people are likely to be affected by them in practice.
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Issue brief provides an overview of how a per capita cap financing structure could work, including implications for the federal government, state governments, beneficiaries and health care providers
The House Republican Plan (“A Better Way”) released on June 22, 2016, includes a proposal to convert federal Medicaid financing from an open-ended entitlement to a per capita allotment or a block grant (based on a state choice). This proposal is part of a larger package designed to replace the Affordable Care Act (ACA) and reduce federal spending for health care. Often tied to deficit reduction, proposals to convert Medicaid’s financing structure to a per capita cap or block grant have been proposed before. Such changes represent a fundamental change in the financing structure of the program with major implications for beneficiaries, providers, states and localities. Key things to understand about a per capita cap include the following: how a per capita cap works, key design challenges, and implications of a per capita cap.
The Medicaid program is jointly funded by states and the federal government. There has been renewed interest in how Medicaid is financed in light of the additional federal financing for the Medicaid expansion under the Affordable Care Act (ACA) as well as ongoing budget discussions at the federal level. This brief reviews how the Medicaid program is financed as well as the implications for budgets, responsiveness to state policy choices and need, the links between Medicaid spending and state economies.
This timeline of key developments tracks the evolution of Medicaid and its role in America’s health care system.
This analysis of the House Budget Plan that was passed in 2012 finds that repealing the Affordable Care Act (ACA) and converting Medicaid to a block grant would trigger significant decreases in federal Medicaid spending and could result in substantial reductions in enrollment and payments to providers compared to current…
This issue brief examines the broad implications of converting Medicaid to block grant financing, one of several ideas that have been put forth to help reduce the federal deficit. The paper, which does not analyze any specific proposal, notes that switching to block grant financing would fundamentally alter the Medicaid…
Financing Health Coverage: The State Children’s Health Insurance Program Experience Enactment of SCHIP sought a balance between increasing funds available for coverage and limiting total federal outlays. While SCHIP has had widespread support and success in helping to provide coverage for uninsured children, its capped financing system has also…
– Issue Brief State and federal budget pressures, rising health care costs, and new waiver initiatives have promoted debate over restructuring Medicaid at the federal and state level. Questions about how Medicaid is financed are central to this debate. This paper compares the current Medicaid financing system to a…
The Impact of the “Medigrant” Plan on the Federal Payments to States The analysis examines the conference agreement plan for the redistribution of federal funds under a block grant for the Medicaid program. It also discusses the implications of the reductions in federal spending for beneficiary coverage. Report: The…