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The Henry J. Kaiser Family Foundation

Current Issues in Medicaid Financing – An Overview of IGTs, UPLs, and DSH

Medicaid is financed jointly by the federal government and states. This shared financing has produced tension at times over the appropriate share of the cost of the program. This report explains briefly the mechanisms used by states in recent years to finance their share of Medicaid expenditures. Issue Brief (.pdf)

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The Henry J. Kaiser Family Foundation

Testimony: State-Based Health Reform Efforts

On June 16, 2008, Kaiser Family Foundation Vice President Gary Claxton testified about state-based health reform efforts as part of the Senate Finance Committee’s Preparing For Launch Health Reform Summit. In his prepared testimony, he examined the role of Medicaid and the State Children’s Health Insurance Program, as well as…

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The Henry J. Kaiser Family Foundation

Medicaid and State Budgets: From Crunch to Cliff

This fact sheet discusses the status of Medicaid and state budgets in light of the continuing recession and the federal fiscal relief provided to state Medicaid programs through the American Recovery and Reinvestment Act (ARRA). The ARRA money has proved to be critical in helping states address budget shortfalls, preserve…

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The Henry J. Kaiser Family Foundation

Designing a Marketplace that Works: Steps to Affordable Coverage

The Affordable Care Act enacted in March 2010 calls for the establishment of state health insurance exchanges — marketplaces through which individuals and small businesses can purchase affordable insurance. These exchanges must begin operation by January 1, 2014. This October 22 briefing, cosponsored by the Alliance for Health Reform and…

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The Henry J. Kaiser Family Foundation

Medicaid and CHIP Coverage In An Era of Recession and Health Reform

Despite tight budgets, nearly all states maintained or made targeted expansions or improvements in their Medicaid and Children’s Health Insurance Programs (CHIP) eligibility and enrollment rules in 2010, preserving the programs’ important role of providing coverage to millions of low-income Americans who otherwise lack affordable options. This stability in large…

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The Henry J. Kaiser Family Foundation

Medicaid Spending Growth and the Great Recession, 2007-2009

This fact sheet examines how the recent recession drove up Medicaid enrollment as millions of Americans lost jobs and income, and how that increase in enrollment has been the primary cause of the increase in overall Medicaid spending. Fact Sheet (.pdf)

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The Henry J. Kaiser Family Foundation

Medicaid Financing: An Overview of the Federal Medicaid Matching Rate (FMAP)

Since its enactment in 1965, the Medicaid program has used the Federal Medical Assistance Percentage (FMAP) to determine the federal government’s share of the cost of covered services in state Medicaid programs. On average, the federal share has been 57 percent. Beginning in 2014, the Affordable Care Act (ACA) establishes…

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The Henry J. Kaiser Family Foundation

New State Surveys Show State Budgetary Pressures on Medicaid Easing, But Long-Term Challenges for Program Remain

Three KCMU state surveys indicate improving economy and sustained state cost-containment actions have improved the outlook for Medicaid and SCHIP, but long-term challenges remain due to factors affecting overall health care system. News Release Summary of Findings (.pdf) Medicaid Budgets, Spending and Policy Initiatives in State Fiscal Years 2005 and…

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The Henry J. Kaiser Family Foundation

Implications Of A Federal Block Grant Program For Medicaid

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…

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The Henry J. Kaiser Family Foundation

Enhanced Medicaid Match Rates Expire in June 2011

This fact sheet discusses the role played by the enhanced federal Medicaid matching funds available to states through the American Recovery and Reinvestment Act of 2009 (ARRA), and the implications for state Medicaid programs as that extra assistance expires June 30, 2011. States used the ARRA enhanced Medicaid funding to…

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The Henry J. Kaiser Family Foundation Headquarters: 2400 Sand Hill Road, Menlo Park, CA 94025 | Phone 650-854-9400
Washington Offices and Barbara Jordan Conference Center: 1330 G Street, NW, Washington, DC 20005 | Phone 202-347-5270

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Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in Menlo Park, California.