Financing
In their wondrous 1957 interpretation of a Gershwin classic, Ella Fitzgerald and Louis Armstrong sing, “You like potato and I like potahto/You like tomato and I like tomahto.” Their back-and-forth has echoes in the current debate over what to call the TennCare III demonstration, approved on January 8 by the former CMS Administrator, Seema Verma. […]
After more than the usual end-of-session drama, the Consolidated Appropriations Act, 2021 (CAA) became law on December 27, 2020 (P.L. 116-260). The sprawling, 2,124-page opus includes not just badly needed COVID relief for millions of unemployed Americans but also funding for the entire federal government and protections against surprise medical bills for consumers with private […]
My new paper for the Commonwealth Fund analyzes how Puerto Rico’s Medicaid block grant financing contributed to Puerto Rico’s overall fiscal and debt crisis and resulted in a Medicaid program that is far less generous than what is provided in the states. Puerto Rico’s experience thus offers critical lessons to federal and state policymakers about […]
Despite the House passing the HEROES Act (H.R. 6800) in May, the Senate has not considered further major legislation to respond to the worsening COVID-19 health and economic crisis. But it is expected that Congress will finally act over the next two weeks. As I have explained, an additional, substantial increase in the federal Medicaid […]
As I keep saying, Medicaid is a first responder to the COVID-19 pandemic with respect to both the health crisis and the ensuing economic crisis. With unemployment rapidly rising to double digits, it was only a matter of time until Medicaid/CHIP started to see enrollment increases. Medicaid enrollment has long been closely aligned with the […]
The temporary 6.2 percentage point increase in the federal Medicaid matching rate enacted as part of the Families First COVID-19 legislation (P.L. 116-127) benefited the Children’s Health Insurance Program (CHIP) as well. Because the formula used to calculate each state’s CHIP matching rate is based on the regular FMAP, the Families First FMAP increase resulted […]
