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The Henry J. Kaiser Family Foundation

Vermont’s Choices for Care Medicaid Long-Term Services Waiver: Progress and Challenges As the Program Concluded Its Third Year

Vermont's Choices for Care experiment in long-term services, created through a five-year Medicaid waiver in 2005, was designed to increase access to home and community-based services while reducing the use of institutional services and controlling overall costs. In exchange for agreeing to a federal funding cap, Vermont was able to…

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The Henry J. Kaiser Family Foundation

Pulling It Together: Perspectives on State Health Reform

This Pulling It Together column is the fourth in my new series. All four so far have dealt with different dimensions of health reform. This time I write about one of my favorite topics, the states. As a former head of an umbrella health and social services agency in a…

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The Henry J. Kaiser Family Foundation

Medicaid in a Declining Economy:  Limited Approaches for States to Control Spending

Medicaid in a Declining Economy: Limited Approaches for States to Control SpendingThis brief analyzes results from its annual 50-state budget surveys of Medicaid directors from 2003 to 2007. The historical results describe how states adopted a wide array of Medicaid cost containment strategies during the last economic downturn and were…

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The Henry J. Kaiser Family Foundation

Medicaid, SCHIP and Economic Downturn: Policy Challenges and Policy Responses

Medicaid, SCHIP and Economic Downturn: Policy Challenges and Policy ResponsesA new analysis conducted for the Kaiser Family Foundation's Commission on Medicaid and the Uninsured examines the implications of a downturn for health coverage and state programs and projects the impact of one percentage point rise in the national unemployment rate…

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The Henry J. Kaiser Family Foundation

As Tough Times Wane, States Act to Improve Medicaid Coverage and Quality:  Results from a 50-State Medicaid Budget Survey for State Fiscal Years 2007 and 2008

As Tough Times Wane, States Act to Improve Medicaid Coverage and Quality: Results from a 50-State Medicaid Budget Survey for State Fiscal Years 2007 and 2008 The annual 50-state survey of state officials on Medicaid and state budget actions reports enrollment in Medicaid declined for the first time in nearly…

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The Henry J. Kaiser Family Foundation

Why Did Medicaid Spending Decline in 2006?  A Detailed Look at Program Spending and Enrollment, 2000-2006

Why Did Medicaid Spending Decline in 2006? A Detailed Look at Program Spending and Enrollment, 2000-2006This issue brief finds that Medicaid spending declined for the first time in the program’s 40-plus year history in Federal Fiscal Year (FY) 2006, falling by 0.2 percent. The two major factors that underlie the…

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The Henry J. Kaiser Family Foundation

Low Medicaid Spending Growth Amid Rebounding State Revenues:  Results From a 50-State Medicaid Budget Survey State Fiscal Years 2006 and 2007

Low Medicaid Spending Growth Amid Rebounding State Revenues: Results From a 50-State Medicaid Budget Survey State Fiscal Years 2006 and 2007 The 50-state annual survey about budget conditions and Medicaid cost containment actions in FY2006-07 finds an improved economy combined with the implementation of the new Medicare prescription drug benefit…

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The Henry J. Kaiser Family Foundation

National ADAP Monitoring Project, Annual Report, 2006

The National ADAP Monitoring Report, 2006 provides the latest data on state AIDS Drug Assistance Programs (ADAPs). ADAPs, authorized under Title II of the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act, provide HIV/AIDS-related prescription drugs to uninsured and underinsured individuals living with HIV/AIDS. ADAPs operate in 57 U.S. states,…

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The Henry J. Kaiser Family Foundation

State Financing of the Medicare Drug Benefit:  New Data on the “Clawback”

State Financing of the Medicare Drug Benefit: New Data on the “Clawback”Beginning in 2006, states will be obligated to finance part of the new Medicare prescription drug benefit via a monthly “clawback” payment to the federal government. This issue update analyzes the latest data and provides an overview of the…

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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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