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Health Care and the Economic Slowdown. Barbara Coulter Edwards National Association of State Medicaid Directors February 15, 2008. Medicaid By the Numbers. 50 million covered lives 70% of spending is for the elderly and people of all ages with chronic or disabling conditions
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Health Care and the Economic Slowdown Barbara Coulter Edwards National Association of State Medicaid Directors February 15, 2008
Medicaid By the Numbers • 50 million covered lives • 70% of spending is for the elderly and people of all ages with chronic or disabling conditions • 40% of spending is for people already covered by Medicare • 23% of state budgets • 60/40 is average federal/state funding split
Economy slows Medicaid grows More uninsured Loss of federal + state funds to local economies Budget deficit Cuts to Medicaid: 60% fmap means $2.40 cut in Medicaid to save $1 in state GRF (provider rates, eligibility, benefits)
Economy slows Medicaid grows More uninsured Federal Cuts Loss of federal + state funds to local economies Budget deficit Federal stimulus: FMAP Cuts to Medicaid: 60% fmap means $2.40 cut in Medicaid to save $1 in state GRF (provider rates, eligibility, benefits)
State Actions to Contain Medicaid Costs FY 2002 – FY 2006 Number of States SOURCE: Vernon Smith, Kathleen Gifford, Eileen Ellis, Amy Wiles, Robin Rudowitz and Molly O’Malley, Medicaid Budgets, Spending and Policy Initiatives in State Fiscal Years 2005 and 2006: Results from a 50 State Survey, Kaiser Commission on Medicaid and the Uninsured, October 2005. http://www.kff.org/medicaid/7392.cfm