Health Care Spending Growth and Federal Policy
In this Issue Brief, we examine spending growth through 2014, the first year the Affordable Care Act’s coverage provisions were in effect, and 2015, where possible. We provide detailed cost growth trends for Medicare and the private insurance market. We also estimate the effect of recently introduced specialty drugs on current and future spendin
SpendingGrowth.pdf
PDF 
Observations on Trends in Prescription Drug Spending
Key findings
• Expenditures on prescription drugs are rising and are projected to continue to rise faster than overall health spending thereby increasing this sector’s share of health care spending.
• ASPE estimates that prescription drug spending in the United States was about $457 billion in 2015, or 16.7 percent of overall personal
Drugspending.pdf
Welfare Leavers and Medicaid Dynamics: Five States in 1995. Appendix
Characteristic
Alabama
Florida
Michigan
New Jersey
APPENDIX TABLE 1
LOGISTIC REGRESSION OF THE PROBABILITY
OF MAINTAINING MEDICAID COVERAGE
WHEN ADULTS LEAVE AFDC
(Adults in HMOs Excluded)
Estimated Odds Ratio a
Welfare Leavers and Medicaid Dynamics: Five States in 1995. References
Czajka, John L. “Analysis of Children’s Health Insurance Patterns: Findings from the SIPP.” Washington, DC: Mathematica Policy Research, Inc., 1999.
Dubay, Lisa, and Genevieve Kenney. “Effects of Medicaid Expansions on Insurance Coverage of Children.” Future of Children , vol. 6, no. 1, 1996, pp. 152-61.
Ellwood, David T., and E. Ka
Welfare Leavers and Medicaid Dynamics: Five States in 1995. Discussion
Study findings add to the body of evidence--that declines in the welfare caseload which began in 1995 are likely to have a noticeable effect on state Medicaid programs in the future, in terms of overall enrollment, caseload mix, and per capita expenditure levels. The findings also point to problems of continuity in Medicaid enrollment, which may b
Welfare Leavers and Medicaid Dynamics: Five States in 1995. How Much Turnover and Churning Occurs in Medicaid Caseloads?
A final study objective was to look at the extent to which turnover and churning in each state’s Medicaid caseload might be contributing to enrollment declines. As background for understanding these additional measures, it is useful to review the different ways Medicaid enrollment is counted. Most analyses of trends in Medicaid enrollment rely o
Welfare Leavers and Medicaid Dynamics: Five States in 1995. Were the Welfare Leavers Staying on Medicaid Different From Those Who Left?
Policymakers and Medicaid officials are understandably interested in whether welfare leavers who also leave Medicaid are different from those who remain enrolled in Medicaid. In particular, they want to know whether welfare leavers who continue on Medicaid are likely to be more costly than those who leave Medicaid would have been. Differences in e
Welfare Leavers and Medicaid Dynamics: Five States in 1995. Did Welfare Leavers Stay on Medicaid?
A key part of our analysis was to see what happened to the Medicaid status of individuals leaving AFDC. We focused on those who left from February through July 1995, so that we could follow the Medicaid status for six months after AFDC exit. Six months seemed to us a sufficient time to assess whether Medicaid coverage continued. We counted persons
Welfare Leavers and Medicaid Dynamics: Five States in 1995. Did Medicaid Enrollment Decline?
Consistent with the national pattern, all five study states experienced a decline in Medicaid enrollment for children and adults during 1995, although the extent of the decline varied (Table 3). New Jersey’s Medicaid enrollment in December was only 0.8 percent below its January level, compared to a 4.2 difference in Florida by year end. The othe
Welfare Leavers and Medicaid Dynamics: Five States in 1995. Eligibility Policies of Study States in 1995
By 1995, interstate differences in Medicaid eligibility policy had been considerably reduced as a result of the federally mandated poverty-related expansions for children. That same year, all states were required to extend Medicaid coverage to children under age six and pregnant women with family income below 133 percent of the federal poverty lev
Welfare Leavers and Medicaid Dynamics: Five States in 1995. Previous Research
Concerns about Medicaid enrollment patterns are not new. Although Medicaid enrollment of children and their parents increased by just over 60 percent during the period from 1987 to 1995,
Welfare Leavers and Medicaid Dynamics: Five States in 1995. Introduction
State welfare caseloads have been declining at an unprecedented rate since 1994, partly as a result of state and federal welfare reform efforts and partly because of a strong economy. From a peak of 14.2 million recipients in 1994, by 1998 monthly welfare enrollment had dropped more than 40 percent to an average of 8.3 million recipients. Medicaid
Welfare Leavers and Medicaid Dynamics: Five States in 1995. Findings
Study findings add to the body of evidence that declines in the welfare caseload which began in 1995 are likely to have a noticeable effect on state Medicaid programs, in terms of overall enrollment, caseload mix, and per capita expenditure levels. The findings also point to problems of continuity in Medicaid enrollment, which may be contributing
Welfare Leavers and Medicaid Dynamics: Five States in 1995. Executive Summary
State welfare caseloads have been declining at an unprecedented rate since 1994, partly as a result of state and federal welfare reform efforts and partly because of a strong economy. Medicaid enrollment for children and their parents has been shrinking as well (although less so than welfare), in spite of state efforts to expand their Medicaid eli
Welfare Leavers and Medicaid Dynamics: Five States in 1995
By Marilyn Ellwood & Carol Irvin
Mathematica Policy Research, Inc. 50 Church Street, Fourth Floor Cambridge, MA 02138
April 14, 2000
Linking State-Level Health Expenditure and Utilization Data to Identify Sources of Variation in Health Service Prices, Utilization, and Expenditures - Tables
table1-2.pdf
Tables3-10.pdf
Table11.pdf
Table12.pdf
Table13.pdf
Table14.pdf
Table15.pdf
Table16.pdf
Table17.pdf
Table18-20.pdf
Table21.pdf
Simulation Modeling on Life Care Annuity: Final Report
U.S. Department of Health and Human Services
Simulation Modeling on Life Care Annuity: Final Report
Brenda C. SpillmanThe Urban Institute
Christopher M. MurtaughVisiting Nurse Service of New York
2007
PDF Version: http://aspe.hhs.gov/daltcp/reports/2007/annuity.pdf (41 PDF pages)
annuity.pdf
Report to the Secretary on Private Financing of Long-Term Care for the Elderly
U.S. Department of Health and Human Services