According to a survey released this morning by the Kaiser Family Foundation, the slowly improving economy helped Medicaid spending growth slow to one of its lowest rates in the last fiscal year (FY). The survey found that total Medicaid spending across states increased only 2 percent in fiscal year 2012. The relatively slow spending and enrollment growth are expected to continue in FY 2013.
Cost pressure and cost containment were dominant themes in the slowed spending growth, but states were also able to consider program changes, payment and delivery system reforms and continue efforts to re-orient long-term care programs to community-based care models. Eligibility rules for Medicaid remained stable due to the maintenance of eligibility (MOE) protections under the Affordable Care Act (ACA), and a number of states adopted targeted eligibility expansions or simplified enrollment procedures.
States are also preparing for the new role for Medicaid in the implementation of the ACA. Under the June 2012 Supreme Court ruling, state policy makers can decide whether and when to implement the Medicaid expansion.
The report’s findings are drawn from the Kaiser Commission on Medicaid and the Uninsured (KCMU) and Health Management Associates (HMA) budget survey of Medicaid officials in all 50 states and the District of Columbia. The survey collects data regarding trends in Medicaid spending, enrollment and policy initiatives.
Click here for the executive summary.
July 3, 2012
In NFIB v Sebelius the United States Supreme Court upheld the constitutionality of the Patient Protection and Affordable Care Act (ACA or the Act). At the same time, the decision adds a new dimension to the implementation of §2001(a) of the Act, which establishes expanded Medicaid eligibility for certain low-income people. This Implementation Brief begins with a discussion of exactly what the Court held in its Medicaid ruling. It then discusses the significance of the majority conclusion, as well as the key implementation questions that arise in the wake of this opinion.
August 10, 2011
According to the Centers for Medicare and Medicaid Services (CMS), in 2008 there were an estimated 9.2 million individuals who were eligible for and enrolled in both the Medicare and Medicaid programs (commonly referred to as “dual eligibles”). Two-thirds of dual eligibles qualify because they are over age 65, while the other third qualify because of a disability. Dual-eligible beneficiaries typically have multiple chronic conditions that require a higher level of care and result in increased spending relative to other Medicare and Medicaid beneficiaries; however, their care is not usually coordinated. Policymakers have expressed concern that the lack of coordination between the two programs results in higher costs and poorer health outcomes than would be achieved if Medicare and Medicaid services were better integrated.
July 7, 2010
The health reform law requires the Secretary of HHS to establish a Medicaid demonstration project “to evaluate integrated care around a hospitalization.” Specifically, this project aims “to evaluate the use of bundled payments for the provision of integrated care for a Medicaid beneficiary . . . with respect to an episode of care that includes a hospitalization . . . and for concurrent physicians services provided during a hospitalization.”