Medicaid Expansions

In response to states’ pervasive budget deficits and the related challenges of managing costly Medicaid programs, Department of Health and Human Services (HHS) Secretary Kathleen Sebelius sent a letter to governors outlining areas where states have flexibility to address rising costs.

The objective of this study was to examine state variation in Medicaid primary care provider (PCP) supply. The study also looks at how state variation in Medicaid PCP supply will change after the Medicaid expansion begins in 2014.

This paper highlights the challenges of transforming small primary care practices, how Medicaid can offer shared supports to providers or catalyze them into investing in modernized systems of care, and what else federal and state governments can do to help advance these efforts.

This report was created as a guide for states to use through the planning and implementaion process of the Medicaid primary care provider reimbursement increase set for 2013.

This report highlights key characteristics of the state health insurance exchange population, based on Congressional Budget Office (CBO) estimates of the effects of Affordable Care Act on insurance coverage, to help federal and state policymakers and other researchers make informed decisions regarding how to structure the Exchanges to meet the healthcare needs of individuals across the country.