JULY 2017 CONFERENCE

Medicaid Policy and Funding

Anne Schwartz

Anne Schwartz, Ph.D., Executive Director, Medicaid & CHIP Payment and Access Commission (MACPAC) reminded the Forum that Medicaid is a major part of the US health system with more than one quarter of the US population enrolled for at least part of the year. The $556 billion program represents 16.4% of all US health-care spending. Financing for the program is a shared federal-state responsibility, but despite federal matching funds, Medicaid accounts for a growing share of state budgets and consumes, on average, 19.3% of all State general funds. Dr. Schwartz reviewed the details of proposals to reduce the burden of healthcare spending, including changing Medicaid financing via block grants and per capita caps, eliminating retroactive eligibility, creating work requirements, and requiring more frequent eligibility determinations. The proposed changes in Medicaid would deeply affect the States, Dr. Schwartz warned, and she offered recommendations on what the States can do to prepare for healthcare finance reforms.

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JULY 2017 CONFERENCE

Medicaid Policy and Funding

Anne Schwartz

Anne Schwartz, Ph.D., Executive Director, Medicaid & CHIP Payment and Access Commission (MACPAC) reminded the Forum that Medicaid is a major part of the US health system with more than one quarter of the US population enrolled for at least part of the year. The $556 billion program represents 16.4% of all US health-care spending. Financing for the program is a shared federal-state responsibility, but despite federal matching funds, Medicaid accounts for a growing share of state budgets and consumes, on average, 19.3% of all State general funds. Dr. Schwartz reviewed the details of proposals to reduce the burden of healthcare spending, including changing Medicaid financing via block grants and per capita caps, eliminating retroactive eligibility, creating work requirements, and requiring more frequent eligibility determinations. The proposed changes in Medicaid would deeply affect the States, Dr. Schwartz warned, and she offered recommendations on what the States can do to prepare for healthcare finance reforms.

JULY 2017 CONFERENCE

Medicaid Policy and Funding

Anne Schwartz

Anne Schwartz, Ph.D., Executive Director, Medicaid & CHIP Payment and Access Commission (MACPAC) reminded the Forum that Medicaid is a major part of the US health system with more than one quarter of the US population enrolled for at least part of the year. The $556 billion program represents 16.4% of all US health-care spending. Financing for the program is a shared federal-state responsibility, but despite federal matching funds, Medicaid accounts for a growing share of state budgets and consumes, on average, 19.3% of all State general funds. Dr. Schwartz reviewed the details of proposals to reduce the burden of healthcare spending, including changing Medicaid financing via block grants and per capita caps, eliminating retroactive eligibility, creating work requirements, and requiring more frequent eligibility determinations. The proposed changes in Medicaid would deeply affect the States, Dr. Schwartz warned, and she offered recommendations on what the States can do to prepare for healthcare finance reforms.