Medicaid/SCHIP: Spending and Budgets - Kaiser Family Foundation

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Medicaid/SCHIP: Spending & Budgets

Medicaid in a Crunch: A Mid-FY 2009 Update on State Medicaid Issues in a Recession
This report relays the perspective of leading state Medicaid directors to describe the fiscal strain on Medicaid and other safety-net programs as enrollment swells and state tax revenues shrink, raising the prospect of program cutbacks midway through the states’ fiscal year 2009.

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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Reports Examine Impact of Economic Turmoil on Health Coverage and State Medicaid Programs -- January 2009

The Kaiser Family Foundation issued several new reports looking at how the recession and growing unemployment is affecting people's health coverage and state Medicaid programs. The new reports were released in conjunction with an Alliance for Health Reform briefing.

Medicaid in a Crunch: A Mid-FY 2009 Update on State Medicaid Issues in a Recession -- January 2009

This report relays the perspective of leading state Medicaid directors to describe the fiscal strain on Medicaid and other safety-net programs as enrollment swells and state tax revenues shrink, raising the prospect of program cutbacks. It augments the most recent Medicaid budget survey report that was based on a survey and interviews with all state Medicaid directors in July and August 2008, at the beginning of state fiscal year 2009.

Turning to Medicaid and SCHIP in an Economic Recession: Conversations with Recent Applicants and Enrollees -- December 2008

This issue brief, drawn from five focus group discussions, sheds light on the experiences of families who have suffered financial reversals and lost health coverage in the economic downturn, forcing many to turn to safety-net programs such as Medicaid and SCHIP for the first time.

The Medicaid Program at a Glance - UPDATE -- November 2008

This fact sheet provides an overview of the Medicaid program, the populations that it serves and the services that it covers.

Health Coverage in an Economic Downturn: Impact of Tight Budgets on Families and States -- November 2008
The economic downturn has strained family finances and led some Americans to cut back on medications and medical care. The Foundation has a number of resources that shed light on how Americans and states are faring and provide background on the uninsured, employer-sponsored health insurance costs, trends in states’ Medicaid enrollment and spending and prior efforts to support the Medicaid program during a slumping economy.

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.

This fact sheet provides an overview of the Medicaid program, the populations that it serves and the services that it covers.

The economic downturn has strained family finances and led some Americans to cut back on medications and medical care. The Foundation has a number of resources that shed light on how Americans and states are faring and provide background on the uninsured, employer-sponsored health insurance costs, trends in states’ Medicaid enrollment and spending and prior efforts to support the Medicaid program during a slumping economy.

“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.