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Medicaid Capitation Payments by State

Congress has repeatedly proposed changing Medicaid from an entitlement to a block grant. Each state would receive a fixed amount instead of a Federal payment influenced by state decisions on eligibility, coverage, and pricing. This paper uses existing data series to simulate redistributing the annua...

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Autor principal: Hsia, David C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6906338/
https://www.ncbi.nlm.nih.gov/pubmed/31823662
http://dx.doi.org/10.1177/0046958019892882
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author_facet Hsia, David C.
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description Congress has repeatedly proposed changing Medicaid from an entitlement to a block grant. Each state would receive a fixed amount instead of a Federal payment influenced by state decisions on eligibility, coverage, and pricing. This paper uses existing data series to simulate redistributing the annual $353 billion Federal payment among Medicaid’s 56 state (and territorial) programs. Capitation by general population would shift $52 billion, mainly from large Northeastern and West Coast states to large Southern and Mountain states. Capitation by population below the Federal Poverty Line (FPL) would shift $60 billion in a similar pattern. Policymakers should understand likely state-to-state effects when considering Medicaid legislation. States could then prepare for possible changes in their Federal payment for Medicaid.
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spelling pubmed-69063382019-12-18 Medicaid Capitation Payments by State Hsia, David C. Inquiry Original Research Congress has repeatedly proposed changing Medicaid from an entitlement to a block grant. Each state would receive a fixed amount instead of a Federal payment influenced by state decisions on eligibility, coverage, and pricing. This paper uses existing data series to simulate redistributing the annual $353 billion Federal payment among Medicaid’s 56 state (and territorial) programs. Capitation by general population would shift $52 billion, mainly from large Northeastern and West Coast states to large Southern and Mountain states. Capitation by population below the Federal Poverty Line (FPL) would shift $60 billion in a similar pattern. Policymakers should understand likely state-to-state effects when considering Medicaid legislation. States could then prepare for possible changes in their Federal payment for Medicaid. SAGE Publications 2019-12-11 /pmc/articles/PMC6906338/ /pubmed/31823662 http://dx.doi.org/10.1177/0046958019892882 Text en © The Author(s) 2019 http://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Research
Hsia, David C.
Medicaid Capitation Payments by State
title Medicaid Capitation Payments by State
title_full Medicaid Capitation Payments by State
title_fullStr Medicaid Capitation Payments by State
title_full_unstemmed Medicaid Capitation Payments by State
title_short Medicaid Capitation Payments by State
title_sort medicaid capitation payments by state
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6906338/
https://www.ncbi.nlm.nih.gov/pubmed/31823662
http://dx.doi.org/10.1177/0046958019892882
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