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4 Responses

  1. Enrollment Would Grow By 8 Million if States Expanded Medicaid

    The Robert Wood Johnson Foundation recently released an updated analysis of the impact Medicaid expansion would have in states that have not expanded eligibility. Here are some key findings from the report:

    • Medicaid enrollment would grow by 8-9 million from 2018 through 2027.
    • Higher caseloads would increase state Medicaid spending by $82.5-$90.8 billion.
    • Caseload growth would increase federal funding by $595.8-$664.8 billion.
    • Federal subsidies in marketplaces would fall by $132.2-$133.2 billion.
    • Reductions in uncompensated care would save states $22.5-$27.9 billion.
    • Federal spending on uncompensated care would drop by $36.1-$44.6 billion.

    Source: Robert Wood Johnson Foundation, April 2017


  2. Six Medicaid Policy Recommendations from Two Past CMS Administrators

    1. Make Medicaid a more outcomes-based program
    2. Improve Medicaid financing
    3. Ensure proper access to care
    4. Invest in a data, technology, and analytics infrastructure
    5. Coordinate programs for dual-eligible beneficiaries (who qualify for both Medicaid and Medicare) and other populations
    6. Reduce administrative burden on states and allowing for more rapid innovation

    Source: JAMA Forum


  3. Newly Enrolled Medicaid Families Saved $3,000 on Average Annually

    The Commonwealth Fund recently released an analysis of healthcare spending for low-income families in states that expanded Medicaid compared to those in non-expansion states. Here are some key findings from the report:

    • Low-income families in expansion states saved $382 in annual healthcare spending.
    • In 2014, 30 states and DC participated in Medicaid expansion, 20 states did not.
    • Low-income families in expansion states were 11% less likely to have any spending.
    • Those with premiums spent about $379 less in expansion vs. nonexpansion states.
    • In expansion states, the highest level of spending among families fell by $1,500.
    • The average newly enrolled Medicaid family saved at least $3,000 annually.

    Source: Commonwealth Fund, August 22, 2017


  4. Medicaid Rates in 44 States to Rise in Fiscal Year 2018
    Although Medicaid’s future path remains uncertain, most states plan to raise their provider rates for their programs this fiscal year, according to a Kaiser Family Foundation survey of state directors. 

    In fiscal year 2018, 44 states plan to or have already implemented a rate increase for at least one provider type, such as inpatient and outpatient hospitals, primary care physicians, specialists, dentists, or nursing homes.
    This is the second fiscal year in a row where the majority of states are handing raises rather than rate cuts. The trend is one of the reasons that state Medicaid spending increased 3.5% between fiscal years 2016 and 2017. 
    Source: Virgil Dickson, Modern Healthcare [10/20/17]


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