Briefs & Reports

Annual Survey Explores Medicaid in the Reform Era

States expanding Medicaid under the Affordable Care Act expect 18 percent enrollment growth in fiscal year 2015, with federal funds picking up most of the cost. This is just one of the findings in “Medicaid in an Era of Health & Delivery System Reform: Results from a 50-State Medicaid Budget Survey for State Fiscal Years 2014 and 2015.”

This report, released Oct. 14 by the Kaiser Commission on Medicaid and the Uninsured (KCMU), provides an in-depth examination of the changes taking place in state Medicaid programs across the country.

The findings in this report are drawn from the 14th annual budget survey of Medicaid officials in all 50 states and the District of Columbia conducted by the KCMU and Health Management Associates (HMA), with the support of the National Association of Medicaid Directors. This report highlights policy changes implemented in state Medicaid programs in FY 2014 and those planned for implementation in FY 2015 based on information provided by the nation’s state Medicaid directors.

HMA Managing Principals Vern Smith, Eileen Ellis and Kathy Gifford authored the report outlining the survey findings in conjunction with Robin Rudowitz and Laura Snyder from the Kaiser Family Foundation. Key areas covered in the report include changes in eligibility and enrollment, delivery systems, provider payments and taxes, benefits, pharmacy programs, program integrity and program administration.

Two additional issue briefs were developed as well: