Medicaid Financing Expenditures And Reduction Proposals
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Medicaid Financing Expenditures And Reduction Proposals
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Author : Sacha M. Gallopin
language : en
Publisher:
Release Date : 2014-05-14
Medicaid Financing Expenditures And Reduction Proposals written by Sacha M. Gallopin and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-05-14 with Medical categories.
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.
Medicaid Financing Expenditures And Reduction Proposals
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Author : Sacha M. Gallopin
language : en
Publisher: Nova Science Publishers
Release Date : 2013
Medicaid Financing Expenditures And Reduction Proposals written by Sacha M. Gallopin and has been published by Nova Science Publishers this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013 with Federal Medical Assistance Percentage categories.
This book provides an overview of Medicaids 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.
Medicaid Financing And Expenditures
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Author : Alison Mitchell
language : en
Publisher: Createspace Independent Pub
Release Date : 2012-08-10
Medicaid Financing And Expenditures written by Alison Mitchell and has been published by Createspace Independent Pub this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-08-10 with Medical categories.
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.
Health Care Financing Review
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Author :
language : en
Publisher:
Release Date : 2000
Health Care Financing Review written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2000 with Medical care categories.
Federalism And Health Policy
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Author : Alan Weil
language : en
Publisher: The Urban Insitute
Release Date : 2003
Federalism And Health Policy written by Alan Weil and has been published by The Urban Insitute this book supported file pdf, txt, epub, kindle and other format this book has been release on 2003 with Medical categories.
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.
Background Data On Fiscal Year 1987 Spending Reduction Proposals Under Jurisdiction Of The Committee On Finance
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Author :
language : en
Publisher:
Release Date : 1986
Background Data On Fiscal Year 1987 Spending Reduction Proposals Under Jurisdiction Of The Committee On Finance written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1986 with Budget categories.
President S Health And Human Services Budget Proposals
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Author : United States. Congress. Senate. Committee on Finance
language : en
Publisher:
Release Date : 1987
President S Health And Human Services Budget Proposals written by United States. Congress. Senate. Committee on Finance and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1987 with Budget categories.
Health Care Financing Review
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Author :
language : en
Publisher:
Release Date : 1985
Health Care Financing Review written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1985 with Medical care categories.
Administration S Fiscal Year 1984 Budget Proposals Ii
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Author : United States. Congress. Senate. Committee on Finance
language : en
Publisher:
Release Date : 1983
Administration S Fiscal Year 1984 Budget Proposals Ii written by United States. Congress. Senate. Committee on Finance and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1983 with categories.
Message Of The President Of The United States Transmitting The Budget For The Service Of The Fiscal Year Ending
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Author : United States
language : en
Publisher:
Release Date : 1970
Message Of The President Of The United States Transmitting The Budget For The Service Of The Fiscal Year Ending written by United States and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1970 with Budget categories.