Medicaid/SCHIP: Spending and Budgets - Kaiser Family Foundation

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Medicaid/SCHIP: Spending & Budgets

New Survey Indicates Medicaid Enrollment Declines for the First Time in Nearly a Decade
The annual 50 state survey on Medicaid and state budget actions reports a 0.5 percent enrollment decline in fiscal year 2007 and that, with an improved economy, 42 states are planning to expand coverage for the uninsured in the next year.

New Analysis Shows Effect of Rising Unemployment on Health Coverage, Medicaid and SCHIP Spending and Enrollment
Every one percentage point rise in the unemployment rate leads to a 1.1 million increase in the uninsured population and a one million increase in Medicaid and SCHIP enrollment, according to a new Kaiser analysis. Another report analyzes the history of Medicaid during recent economic downturns.

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Kaiser Fast Facts -- May 2008
“Kaiser Fast Facts” features “QuickTakes” and “Kaiser Slides” – two tools that provide direct access to facts, data and slides about the nation's health care system and programs, in an easy-to-use format. “QuickTakes” presents an inventory of facts-at-a-glance and "Kaiser Slides" allows Web visitors to freely view, download and print graphics and tables of health policy statistics and trends.

New Analysis Shows Effect of Rising Unemployment on Health Coverage, Medicaid and SCHIP Spending and Enrollment -- April 2008

This analysis finds that every one percentage point rise in the unemployment rate leads to a 1.1 million increase in the uninsured population and a one million increase in Medicaid and SCHIP enrollment. Another report analyzes the history of Medicaid during recent economic downturns.

Medicaid, SCHIP and Economic Downturn: Policy Challenges and Policy Responses -- April 2008

This analysis projects the implications of an economic downturn for health coverage and state programs.

Medicaid in a Declining Economy: Limited Approaches for States to Control Spending -- April 2008

This brief analyzes results from annual 50-state budget surveys of Medicaid directors from 2003 to 2007 to determine how past actions by states and the federal government may impact Medicaid programs during the current economic downturn.

Report Examines the Potential Impact of New Federal Initiative To Review Payment and Eligibility Errors in Medicaid -- February 2008

The federal government has launched a new initiative, Payment Error Rate Measurement (PERM), to estimate the number of errors states make in determining eligibility for Medicaid and the State Children’s Health Insurance Program (SCHIP). This paper reports on state officials’ views of how the new initiative could impact their management of Medicaid programs.

President's FY 2009 Budget and SCHIP -- February 2008

The President released his Fiscal Year 2009 budget proposal in January 2008. The President’s plan would increase SCHIP funding by $19.7 billion over the next five years, more than the $5 billion included in his FY 2008 budget proposal, but less than the $35 billion included in the SCHIP reauthorization bills that were vetoed last year. The Foundation's KCMU has prepared a fact sheet summarizing the proposal and places it in the context of last year's SCHIP reauthorization debate.

President's FY 2009 Budget and Medicaid -- February 2008

The President released his Fiscal Year 2009 budget plan in January 2008 and it includes proposals on Medicaid that would reduce federal Medicaid spending by over $17 billion over the next five years. This fact sheet summarizes the proposals and potential implications.

State Fiscal Conditions & Medicaid -- November 2007

This fact sheet, updated to include information from the recent survey of state Medicaid directors regarding fiscal year 2007 and 2008 actions, summarizes the relationship of Medicaid with state budgets and updates the current fiscal situation in the states and how it is affecting Medicaid programs.

The New Medicaid Integrity Program: Issues and Challenges in Ensuring Program Integrity in Medicaid -- June 2007

This paper analyzes the Medicaid Integrity Program, a new federal effort within the Centers for Medicare and Medicaid Services that was enacted as part of the Deficit Reduction Act of 2005 to ensure program integrity in Medicaid.

Fact Sheets Summarize President's Budget Proposals for Health Insurance Coverage, Including Medicaid and SCHIP -- May 2007

The President's fiscal year 2008 budget proposal includes changes to Medicaid, provisions for the reauthorization of SCHIP, and the health coverage initiative, Affordable Choices. These fact sheets provide an overview of President Bush's policy plans on these health coverage issues.

“Kaiser Fast Facts” features “QuickTakes” and “Kaiser Slides” – two tools that provide direct access to facts, data and slides about the nation's health care system and programs, in an easy-to-use format. “QuickTakes” presents an inventory of facts-at-a-glance and "Kaiser Slides" allows Web visitors to freely view, download and print graphics and tables of health policy statistics and trends.

This analysis projects the implications of an economic downturn for health coverage and state programs.

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Medicaid/SCHIP: Spending and Budgets
States play a major role in the delivery and financing of health care in the United States, primarily through the Medicaid program, which is the second-largest program in state budgets. Since 2001, state revenues have fallen dramatically at the same time that Medicaid spending has increased. States’ deteriorating fiscal conditions have placed major pressure on states to implement ways to reduce spending growth in their Medicaid programs. In fiscal years 2003 and 2004, every state and the District of Columbia put in place new Medicaid cost containment strategies, including increasing beneficiary co-payments, restricting eligibility, limiting benefits and reducing payments to providers. The Kaiser Commission on Medicaid and the Uninsured provides timely analysis of the changes states are making, including biennial 50-state surveys of states’ Medicaid cost containment activity, in-depth analysis of the factors behind Medicaid spending growth, and analytic perspectives on the driving forces behind the state budget crisis.