What Would Block Grants or Limits on Per Capita Spending Mean for Medicaid?

ABSTRACT Issue: President-elect Trump and some in Congress have called for establishing absolute limits on the federal government’s spending on Medicaid, not only for the population covered through the Affordable Care Act’s eligibility expansion but for the program overall. Such a change would effectively reverse a 50-year trend of expanding Medicaid in order to protect […]

MEDICAID BLOCK GRANT WOULD SHIFT FINANCIAL RISKS AND COSTS TO STATES: States Would Bear Impact of Recessions, Higher Medical Costs

Some states may mistakenly believe that proposals to convert Medicaid into a block grant or otherwise cap federal funding would make their Medicaid costs more predictable and stable over time. In reality, a block grant is intended to provide predictability for the federal government by replacing the current financing system, under which the federal government […]

Medicaid has made a huge difference in my patients’ lives. Here’s how.

Over the past few weeks, there has been talk both of funding infrastructure projects and defunding Medicaid, at least in part. I recently saw a patient who reminded me that Medicaid itself provides an essential kind of infrastructure. His black beard pointed stiffly down his chest. At the middle of his sternum, it flowered out […]

Medicaid Fraud Climbed to a Whopping $29 Billion Last Year

Medicaid managers have done little to stem rampant fraud in the massive government health care program for the poor, which totaled more than $29 billion last year, according to a new Government Accountability Office (GAO) report to Congress. As Medicaid gradually transforms from a traditional fee-for-service operation to managed care, the challenge for federal and […]