Category Archives: Medicaid

The Medicaid FMAP under the ACA

Congress is currently pursuing Medicaid reform as part of the American Health Care Act. Most people agree that Medicaid should help the poor, particularly those whose poverty is related to their age and disability. However, the Affordable Care Act (ACA) requires the federal government to pay a much greater share of the medical bills for […]

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Doug Badger – Medicaid: Per Capita Analysis

  Dire Predictions About the Effects of AHCA’s Per Capita Allocations Find No Support in the CMS Data by Doug Badger The American Health Care Act (AHCA) would establish per capita Medicaid allocation levels, beginning in 2020,[i] as part of changes to give states more flexibility and incentives to improve care delivery and cost-effectiveness in […]

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CBO Is Wrong And Its Numbers Shouldn’t Deter Needed Reform

The Congressional Budget Office (CBO) launched its latest mistaken Obamacare-related estimate this week, predicting that a House-passed bill to repeal and replace the embattled law would lead to 23 million more uninsured people by 2026. Although CBO itself acknowledges that this latest prediction is “especially uncertain,” one thing is especially certain: CBO is wrong. We […]

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New Taxes Won’t Lower Drug Prices

Prescription drug prices continue to be a hot political issue, with the Trump administration preparing to release an action plan as soon as repeal and replace legislation clears Congress. Mick Mulvaney, who heads the White House budget office and is participating in the talks, floated an idea last week that should quickly be crossed off […]

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Medicaid Per Capita Caps: When Democrats Supported and Republicans Opposed Them, 1995–1997

by Doug Badger ABSTRACT: Congressional Republicans have called for restructuring Medicaid, reviving a debate that has largely remained dormant for two decades. During the mid-1990s, Congress and President Clinton advanced competing Medicaid reform proposals. Republicans urged that the federal government issue Medicaid block grants to states. The White House and congressional Democrats proposed instead to […]

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California’s Illegal Medicaid Tax

California politicians and interest groups have been working overtime to figure out a way to fix an illegal Medicaid provider tax—the subject of my recent Mercatus Center study. These taxes are problematic because they are generally accompanied with the guarantee of increased Medicaid payments to the providers paying the tax—payments largely financed with federal matching funds. […]

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