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State Financing Of Medicaid
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Book Synopsis Federalism and Health Policy by : Alan Weil
Download or read book Federalism and Health Policy written by Alan Weil and published by The Urban Insitute. This book was released on 2003 with total page 448 pages. Available in PDF, EPUB and Kindle. Book excerpt: The balance between state and federal health care financing for low-income people has been a matter of considerable debate for the last 40 years. Some argue for a greater federal role, others for more devolution of responsibility to the states. Medicaid, the backbone of the system, has been plagued by an array of problems that have made it unpopular and difficult to use to extend health care coverage. In recent years, waivers have given the states the flexibility to change many features of their Medicaid programs; moreover, the states have considerable flexibility to in establishing State Children's Health Insurance Programs. This book examines the record on the changing health safety net. How well have states done in providing acute and long-term care services to low-income populations? How have they responded to financial incentives and federal regulatory requirements? How innovative have they been? Contributing authors include Donald J. Boyd, Randall R. Bovbjerg, Teresa A. Coughlin, Ian Hill, Michael Housman, Robert E. Hurley, Marilyn Moon, Mary Beth Pohl, Jane Tilly, and Stephen Zuckerman.
Author :United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health and the Environment Publisher : ISBN 13 : Total Pages :508 pages Book Rating :4.F/5 ( download)
Book Synopsis State Financing of Medicaid by : United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health and the Environment
Download or read book State Financing of Medicaid written by United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health and the Environment and published by . This book was released on 1992 with total page 508 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Medicaid Financing: Long-Standing Concerns about Inappropriate State Arrangements Support Need for Improved Federal Oversight by :
Download or read book Medicaid Financing: Long-Standing Concerns about Inappropriate State Arrangements Support Need for Improved Federal Oversight written by and published by DIANE Publishing. This book was released on with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Medicaid Financing and Expenditures by : Alison Mitchell
Download or read book Medicaid Financing and Expenditures written by Alison Mitchell and published by Createspace Independent Pub. This book was released on 2012-08-10 with total page 30 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicaid is a means-tested entitlement program that finances the delivery of primary and acute medical services as well as long-term services and supports. Medicaid is a federal and state partnership that is jointly financed by both the federal government and the states. The federal government's share for most Medicaid expenditures is called the federal medical assistance percentage (FMAP) rate. Generally determined annually, the FMAP formula is designed so that the federal government pays a larger portion of Medicaid costs in states with lower per capita incomes relative to the national average (and vice versa for states with higher per capita incomes). Federal Medicaid funding to states is open-ended. The federal government provides states a good deal of flexibility in determining the composition of the state share (also referred to as the non-federal share) of Medicaid expenditures. As a result, there is significant variation from state to state in the funding sources used to finance the state share of Medicaid expenditures. In state fiscal year 2010, states reported that on average state general funds (i.e., revenues from personal income, sales, and corporate income taxes) made up 76% of the state share of Medicaid expenditures and the remaining 24% was financed by “other state funds” (i.e., provider taxes, local government funds, and tobacco settlement funds). In FY2011, Medicaid expenditures totaled $428 billion, with the federal government paying $271 billion, about 63% of the total. While Medicaid expenditures (like all health expenditures) generally grow at a rate faster than the economy, as measured by the gross domestic product (GDP), spending per enrollee under Medicaid tends to be lower than the per person spending for other forms of health insurance. One of the major factors impacting Medicaid spending is the economy. Also, state-specific factors, such as programmatic decisions and demographics, affect Medicaid expenditures and cause Medicaid spending to vary widely from state to state. Starting in FY2014, Medicaid expenditures are expected to increase significantly as a result of the reforms enacted in the Patient Protection and Affordable Care Act (ACA, P.L. 111-148 as amended). The most noteworthy ACA change to Medicaid begins in 2014, or sooner at state option, when some states expand Medicaid eligibility to adults under age 65 with income up to 133% of the federal poverty level (FPL) (effectively 138% FPL with the Modified Adjusted Gross Income 5% FPL income disregard). Following the June 28, 2012, Supreme Court decision in National Federation of Independent Business v. Sebelius, it is uncertain how many states will refuse to expand their Medicaid program to cover this new group. The Congressional Budget Office and the Joint Committee on Taxation updated their estimate of the ACA Medicaid expansion to account for the Supreme Court decision, and they project the expansion will cost $642 billion from FY2014 to FY2022, which is $288 billion less than the estimate prior to the Supreme Court decision. This report provides an overview of Medicaid's financing structure, including both federal and state financing issues. The Medicaid expenditures section of the report discusses economic factors affecting Medicaid, state variability in spending, and projected program spending. Other issues that are examined include congressional proposals to turn Medicaid into a block grant program, federal deficit reduction proposals affecting Medicaid, and state fiscal conditions affecting Medicaid financing and services.
Author :United States Government Accountability Office Publisher :Createspace Independent Publishing Platform ISBN 13 :9781976392719 Total Pages :54 pages Book Rating :4.3/5 (927 download)
Book Synopsis Medicaid Financing by : United States Government Accountability Office
Download or read book Medicaid Financing written by United States Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2017-09-16 with total page 54 pages. Available in PDF, EPUB and Kindle. Book excerpt: The costs of Medicaid-the federal-state program financing health care for about 60 million low-income people-totaled about $317 billion in fiscal year 2005. Increasing budgetary pressures have created tension between the states and the federal government, in part because some states have used inappropriate financing arrangements to collect federal matching funds when payments were not retained by the providers. In August 2003, the federal Centers for Medicare & Medicaid Services (CMS) began an initiative to end inappropriate arrangements. GAO was asked to examine the (1) number, and fiscal effects, of states ending particular financing arrangements; (2) extent to which CMS's initiative represents a change in agency approach or policy; and (3) transparency and consistency of the initiative. For states ending arrangements, GAO surveyed state officials, reviewed CMS documents, and interviewed CMS and state officials.
Book Synopsis Medicaid improved federal oversight of state financing schemes is needed : report to the Committee on Finance, U.S. Senate. by :
Download or read book Medicaid improved federal oversight of state financing schemes is needed : report to the Committee on Finance, U.S. Senate. written by and published by DIANE Publishing. This book was released on with total page 94 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Medicaid Financing, Expenditures and Reduction Proposals by : Sacha M. Gallopin
Download or read book Medicaid Financing, Expenditures and Reduction Proposals written by Sacha M. Gallopin and published by . This book was released on 2014-05-14 with total page 181 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicaid is a means-tested entitlement program that finances the delivery of primary and acute medical services as well as long-term services and supports. Medicaid is a federal and state partnership that is jointly financed by both the federal government and the states. The federal government's share for most Medicaid expenditures is called the federal medical assistance percentage (FMAP) rate. Generally determined annually, the FMAP formula is designed so that the federal government pays a larger portion of Medicaid costs in states with lower per capita incomes relative to the national average (and vice versa for states with higher per capita income). Federal Medicaid funding to states is open-ended. The federal government provides states a good deal of flexibility in determining the composition of the state share (also referred to as the non-federal share) of Medicaid expenditures. As a result, there is significant variation from state to state in the funding sources used to finance the state share of Medicaid expenditures. This book provides an overview of Medicaid's financing structure, including both federal and state financing issues. The Medicaid expenditures section of the book discusses economic factors affecting Medicaid, state variability in spending, and projected program spending. Other issues that are examined include congressional proposals to turn Medicaid into a block grant program, federal deficit reduction proposals affecting Medicaid, and state fiscal conditions affecting Medicaid financing and services.
Download or read book Medicaid written by Janet Shikles and published by . This book was released on 1993 with total page 18 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Financing Medicaid written by Shanna Rose and published by University of Michigan Press. This book was released on 2013-08-30 with total page 322 pages. Available in PDF, EPUB and Kindle. Book excerpt: Conventional wisdom holds that programs for the poor are vulnerable to instability and retrenchment. Medicaid, however, has grown into the nation’s largest intergovernmental grant program, accounting for nearly half of all federal funding to state and local governments. Medicaid’s generous open-ended federal matching grants have given governors a powerful incentive to mobilize on behalf of its maintenance and expansion, using methods ranging from lobbying and negotiation to creative financing mechanisms and waivers to maximize federal financial assistance. Perceiving federal retrenchment efforts as a threat to states’ finances, governors, through the powerful National Governors’ Association, have repeatedly worked together in bipartisan fashion to defend the program against cutbacks. Financing Medicaidengagingly intertwines theory, historical narrative, and case studies, drawing on sources including archival materials from the National Governors’ Association and gubernatorial and presidential libraries, Centers for Medicare and Medicaid Services data, the Congressional Record, and interviews.
Author :United States. Congress. Senate. Committee on Finance. Subcommittee on Health for Families and the Uninsured Publisher : ISBN 13 : Total Pages :152 pages Book Rating :4.0/5 ( download)
Book Synopsis Medicaid/Medicare Financing and Implementation of Certain Programs by : United States. Congress. Senate. Committee on Finance. Subcommittee on Health for Families and the Uninsured
Download or read book Medicaid/Medicare Financing and Implementation of Certain Programs written by United States. Congress. Senate. Committee on Finance. Subcommittee on Health for Families and the Uninsured and published by . This book was released on 1992 with total page 152 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medicaid written by and published by . This book was released on 2003 with total page 100 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Health Care Financing Administration Rulings on Medicare, Medicaid, Professional Standards Review, and Related Matters by : United States. Health Care Financing Administration
Download or read book Health Care Financing Administration Rulings on Medicare, Medicaid, Professional Standards Review, and Related Matters written by United States. Health Care Financing Administration and published by . This book was released on 1978 with total page 618 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Medicaid HCFA reversed its position and approved additional state financing schemes. by :
Download or read book Medicaid HCFA reversed its position and approved additional state financing schemes. written by and published by DIANE Publishing. This book was released on 2001 with total page 30 pages. Available in PDF, EPUB and Kindle. Book excerpt: States have been searching for ways to help finance the $196 billion Medicaid program, a jointly funded federal-state program providing health care services to certain low-income, elderly, and disabled people. Over the years, some states have taken advantage of the flexibility that the Congress has built into the Medicaid program by devising financing schemes that inappropriately boost the federal share of program expenditures. Last year, we testified about a regulatory loophole some states were exploiting increase federal Medicaid payments under existing upper payment limit provisions. These provisions represent upper bounds on what the federal government is willing to pay as its share of the costs of different classes of covered services. States were inappropriately increasing federal Medicaid payments by paying nursing homes and hospitals owned by local governments more than they would normally receive and then having them return the bulk of the extra money to the state. The states then sought federal matching funds based on the full amount they paid to providers which they were free to use as they wished. These schemes were adding billions of dollars a year to federal Medicaid costs without the states paying their statutorily specified share of program costs and with some of the federal funds being spent for non-Medicaid purposes. The Congressional Budget Office concluded in January 2001 that such schemes were the most notable factor behind recent increases in federal Medicaid spending, which is growing at a rate nine times that of the Medicaid population.
Book Synopsis Medicaid and Devolution by : Frank J. Thompson
Download or read book Medicaid and Devolution written by Frank J. Thompson and published by Brookings Institution Press. This book was released on 1998-06-01 with total page 324 pages. Available in PDF, EPUB and Kindle. Book excerpt: How much responsibility for providing health care to the poor should be devolved from the federal government to the states? Any answer to this critical policy question requires a careful assessment of the Medicaid program. Drawing on the insights of leading scholars and top state health care officials, this volume analyzes the policy and management implications of various options for Medicaid devolution. Proponents of devolution typically express confidence that states can meet the challenges it will pose for them. But, as this book shows, the degree to which states have the capacity and commitment to use enhanced discretion to sustain or improve health care for the poor remains an open question. Their failure to attend to issues of politics, implementation, and management could lead to disappointment. Chapters focus on such topics as Medicaid financing, benefits and beneficiaries, long-term care, managed care, safety net providers, and the appropriate division of labor between the federal government and the states. The contributors are Donald Boyd, Center for the Study of the States; Lawrence D. Brown, Columbia University; James R. Fossett, Rockefeller College; Richard P. Nathan, Nelson A. Rockefeller Institute of Government, State University of New York, Albany; Michael Sparer, Columbia University; James Tallon, United Hospital Fund; and Joshua M. Weiner, the Urban Institute.
Book Synopsis Medicaid Funding for School-based Services by : United States. Congress. Senate. Committee on Finance
Download or read book Medicaid Funding for School-based Services written by United States. Congress. Senate. Committee on Finance and published by . This book was released on 1999 with total page 92 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :United States. Congress. Senate. Committee on Finance. Subcommittee on Health Publisher : ISBN 13 : Total Pages :464 pages Book Rating :4.F/5 ( download)
Book Synopsis Medicaid Financing of Services for Developmentally Disabled Persons by : United States. Congress. Senate. Committee on Finance. Subcommittee on Health
Download or read book Medicaid Financing of Services for Developmentally Disabled Persons written by United States. Congress. Senate. Committee on Finance. Subcommittee on Health and published by . This book was released on 1987 with total page 464 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Health Insurance is a Family Matter by : Institute of Medicine
Download or read book Health Insurance is a Family Matter written by Institute of Medicine and published by National Academies Press. This book was released on 2002-09-18 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health Insurance is a Family Matter is the third of a series of six reports on the problems of uninsurance in the United Sates and addresses the impact on the family of not having health insurance. The book demonstrates that having one or more uninsured members in a family can have adverse consequences for everyone in the household and that the financial, physical, and emotional well-being of all members of a family may be adversely affected if any family member lacks coverage. It concludes with the finding that uninsured children have worse access to and use fewer health care services than children with insurance, including important preventive services that can have beneficial long-term effects.
