Medicaid’s Federal-State Partnership: Alternatives for Improving Financial Integrity – Summary of Issues, Approaches, and Alternatives for Reform February 28, 2004 Report In this report from the Kaiser Commission on Medicaid and the Uninsured, Penny Thompson, former deputy director for the Center for Medicaid and State Operations, used existing models from the private sector and other government programs to assess Medicaid’s financial management and to develop options for improvement. This table summarizes…
Medicaid’s Federal-State Partnership: Alternatives for Improving Financial Integrity January 31, 2004 Report – ReportAs the federal government increases its scrutiny of state financing of the Medicaid program, this paper, authored by a former CMS official, evaluates the existing financial management of the Medicaid program. Using existing models from the private sector and the government, the paper identifies alternatives to improve Medicaid's financial…
Medicaid and Block Grant Financing Compared January 31, 2004 Issue Brief – 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…
State Perspectives on Medicaid Long-term Care: Report from a July 2003 State Forum January 30, 2004 Report This report summarizes discussions on Medicaid and long-term care at a forum with state officials held by the Kaiser Commission on Medicaid and the Uninsured in July of 2003. The forum, conducted by the National Academy of State Health Policy, addressed issues including Medicaid's role in long-term care, state fiscal…
SCHIP-Enrolled Children with Special Health Care Needs January 2, 2004 Report : An Assessment of Coordination Efforts Between State SCHIP and Title V ProgramsThis study explores how the State Children’s Health Insurance Program serves children with special needs and assesses the role of the Title V Maternal and Child Health Services Block Grant program in filling in gaps in coverage. It…
Dual Eligibles Tables: Enrollment and Spending, by State, 2002 January 1, 2004 Report This set of tables, prepared by the Urban Institue for the Kaiser Commission on Medicaid and the Uninsured, presents the most current state by state data on Medicaid enrollment and expenditures for dual eligibles.Full Set of Tables (.pdf)Individual Tables:Implications of the Medicare drug law for full dual eligibles:Table 1: “Full”…
Financing the Medicaid Program: The Many Roles of Federal and State Matching Funds – Policy Brief January 1, 2004 Issue Brief This paper describes Medicaid’s existing financing structure and examines its implications for the federal government, for states, and for coverage of the low-income populations Medicaid serves.Policy Brief (.pdf)
Is the State Fiscal Crisis Over? A 2004 State Budget Update – Report January 1, 2004 Issue Brief Is the State Fiscal Crisis Over? A 2004 State Budget Update – Issue BriefThis paper, which updates a September 2003 analysis by the Rockefeller Institute of Government, finds that although the state fiscal situation is improving, states are by no means out of the woods yet.Issue Brief (.pdf)
State Responses to Budget Crisis in 2004: An Overview of Ten States – Overview and Case Studies January 1, 2004 Report In this report we examine how ten states from around the nation have responded to their budget crises in fiscal year 2004. While states vary in the depth of the budget pressures they faced, as state revenues remained depressed, all were required to make difficult choices among spending reductions, tax…
Oregon’s Medicaid PDL: Will an Evidence-Based Formulary with Voluntary Compliance Set a Precedent for Medicaid? December 31, 2003 Report This report is a case study of Oregon’s experience with its new prescription drug policy in its Medicaid fee-for-service pharmacy program. The report describes Oregon’s clinical review process, and assesses the results relative to other state preferred drug lists.Report (.pdf)