What does the future hold for U.S. healthcare?Medicaid is the single largest payer for healthcare services in every state. With nearly 10 million people enrolling in 2014 alone, total enrollment nationally tops 68 million, or one in five Americans.
The largest increases in Medicaid enrollment have been in states that expanded their programs under the Affordable Care Act (ACA). In fact, take-up rates in expansion states far exceeded projections. But states that did not expand likewise saw an uptick in Medicaid, as the publicity surrounding new coverage options and tax credits caused many previously eligible people to enroll. Increased Medicaid enrollment, particularly in expansion states, combined with new federal dollars available through State Innovation Model grants and Section 1115 Delivery System Reform Payment Programs, is fueling unprecedented Medicaid transformation efforts in the states. Indeed, it is hard to find a state that is not intent on becoming a smarter purchaser of services for its beneficiaries.
The growth in Medicaid is also reducing the uncompensated care costs of hospitals, providing millions of new enrollees for Medicaid managed care companies, and generating new customers for pharmaceutical manufacturers. Finally, and crucially, Medicaid’s growth nationwide is driving down uninsurance rates, connecting millions of Americans to health insurance and healthcare (many for the first time), and providing a solid foundation on which states can begin to tackle the thorny tasks of improving healthcare quality and access while containing costs.
Achieving Continuity of Insurance Coverage for Lower-Income New Yorkers in 2014
Toward a High Performance Health Care System for Vulnerable Populations: Funding for Safety Net Hospitals
The Role of the Basic Health Program in the Coverage Continuum: Opportunities, Risks and Considerations for States
Analysis of the Basic Health Program Options for New Hampshire
Federally-Facilitated Exchanges and the Continuum of State Options
Medicaid Managed Care: How States' Experience Can Inform Exchange Qualified Health Plan Standards
Implementing National Health Reform in California: Payment and Delivery System Changes
Medicaid Supplemental Payments: Where Do They Fit in Payment Reform?
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