States Mulling Medicaid Budgets
As Medicaid enrollment remains high and tax revenues continue to fall below pre-recession levels in many states, governors and state legislators across the country are weighing various proposals that seek to balance the need to care for their low-income residents with fiscal responsibility and the groundwork they need to lay in preparation for implementing the Affordable Care Act.
Because they serve so many Medicaid patients, urban safety-net hospitals have an especially large stake in the budget decisions being made at the state level. Possible changes in Medicaid eligibility, Medicaid benefits, and Medicaid payments all could hurt urban safety-net hospitals, possibly reducing the adequacy of payments, reducing their Medicaid disproportionate share payments (Medicaid DSH), and hindering their ability to serve their communities.
The Kaiser Commission on Medicaid and the Uninsured summarizes the proposals taking shape in state capitals across the country in a new report, “Governors Budgets for FY 2013 – What is Proposed for Medicaid?” Read a summary and download the entire report here, on the Kaiser Foundation web site.