Upload File

medicaid expansion-available gr estimates

prev
next
out of 36
Download Medicaid Expansion-Available GR Estimates

Upload: bee-moorhead

Post on 03-Apr-2018

216 views

Category:

Documents


0 download

Report

TRANSCRIPT

  • 7/29/2019 Medicaid Expansion-Available GR Estimates

    1/36

    TechnicalReport

    PreliminaryEstimatesof

    GeneralRevenueAvailabilityin

    StateHealthCareProgramsIfTexasExtendsMedicaidtoLow-IncomeAdults

    Analysis by Billy Hamilton Consulting

    Extending Medicaid to Low-Income Adults Will

    Save Local Tax Dollars and Grow the Economy

  • 7/29/2019 Medicaid Expansion-Available GR Estimates

    2/36

    2

    ThisreportprovidespreliminaryestimatesoftheamountofGeneralRevenue(GR)thatwouldbecomeavailablein

    stateprogramsthatcurrentlyservetheeligiblepopulationunderaMedicaidexpansiontoadults.TheAffordable

    CareAct(ACA)providesfederalfundingfortheextensionofMedicaidtoadultsaged18-64below138%FPL.

    Conservativeestimatesindicatethatasmuchas$1.2billionormoreinunrestrictedGR fromagencybase

    LegislativeAppropriationRequests(LARs)fortheseprogramswouldbecomeavailablefortheFY2014-15

    biennium,assumingthattheserequestswereotherwiseappropriated.Thesefundsarewithincurrentspending

    limitsandnotsubjecttothestatesspendingcap,effectivelyfreeingthemforappropriationtoanybudgetary

    purpose.FortheGRavailabilitytomaterialize,however,thestatewouldneedtooptintotheexpansion,which

    wouldrequireanestimated$300millioninGRforadministrativeexpensesduringtheFY2014-15biennium.

    TheestimatesdemonstratethatthestatewillspendenoughGRonhealthcarefortheeligiblepopulationoverthe

    nexttenyearstofundthestateshareoftheMedicaidadultexpansionto2023about$8.9billiongiven

    comparablecaseloadandhealthcarecostincreasefactorsusedintheHealthandHumanServicesCommissions

    adultexpansionprojections.TheestimateofGRavailabilitywithoutcaseloadandcostincreasefactorsis$7.3

    billionsubstantiallyhigherthanthe$4billionthattheLegislativeBudgetBoardhasestimatedthestatewould

    needtofundthestateshareoftheexpansionoverthenexttenyears.

    StateGRisthesolemethodoffinanceforsomeoftheseprograms.Othersreceivefederalmatchingfunds,butat

    lessfavorablematchingratesthantheMedicaidexpansion,whichwouldreceive100%matchfor2014-2016,

    decliningto95%in2017,94%in2018,93%in2019and90%in2020andbeyond.Althoughthefederal

    governmentreducesitsfundingforblockgrantsbytheamountthatastatereducesitsnon-federalspendingin

    affectedprograms,thebeneficiarieswouldreceivethesameservicesunderMedicaidatthemorefavorablematch

    rates.LegislatorsalsohavetheoptionofleavingtheGRintheprogramstoprovideforenhancedservicesorother

    populations.

    Thisreportdoesnotestimatetheeffectonfederalorotherfundingintheseprograms,orGRnetsavings,butonly

    measurestheGRthatwouldbecomeavailableintheseprogramsiftheaffectedpopulationbecameeligiblefor

    Medicaidunderanexpansion.Exceptionalitemandriderappropriationrequestsarealsonotincludedinthese

    estimates,althoughthemethodologieswouldbethesametodeterminetheGRavailableintheseitemsandwouldsubstantiallyincreaseGRavailability.TheestimatesexcludeMedicaid-ineligiblepopulations,includingthosein

    programsservingadultswithincomesgreaterthan138%FPLundertheassumptionthattheywouldcontinueto

    receivebenefitsalthoughsomemaybeeligibleforsubsidizedinsuranceundertheACA.TheimpactofACAs

    insurancesubsidiesontheseprogramswouldresultinadditionalunrestrictedGRavailabletotheextentthatthe

    affectedpopulationenrolledininsurance.TheagencieshaveincludedsomeoftheseestimatedeffectsinSchedule

    6.J.oftheirLegislativeAppropriationsRequests.

    TheseestimatesarepreliminaryonlyandmayberevisedandrefinedinthefuturebyBillyHamiltonConsultingor

    stateagenciesthathaveaccesstomoredetaileddataandinformationthroughthestatesautomatedbudgeting

    system,internalexecutivemanagementreports,andbudgetandprogramanalyststhathaveintimateknowledge

    oftheseprogramsandthepoliciesthataffectthem.

    Downloadone-pagersontheexpansionimpactbylegislativedistrictat

    www.texasimpact.org/Local-Taxpayers-Win-With-Medicaid

    Downloadthefullreportatwww.mhm.org

    Downloadtheexecutivesummaryatwww.texasimpact.org

    Formoreinformationaboutthereport,Smart,AffordableandFaircallTexas

    Impactat512/[email protected]

  • 7/29/2019 Medicaid Expansion-Available GR Estimates

    3/36

    3

    Preliminary Estimates of General Revenue Availability

    In State Health Care Programs

    If

    Texas Extends Medicaid to Low-Income Adults

  • 7/29/2019 Medicaid Expansion-Available GR Estimates

    4/36

    4

  • 7/29/2019 Medicaid Expansion-Available GR Estimates

    5/36

    5

  • 7/29/2019 Medicaid Expansion-Available GR Estimates

    6/36

    6

  • 7/29/2019 Medicaid Expansion-Available GR Estimates

    7/36

    7

  • 7/29/2019 Medicaid Expansion-Available GR Estimates

    8/36

    8

  • 7/29/2019 Medicaid Expansion-Available GR Estimates

    9/36

    9

  • 7/29/2019 Medicaid Expansion-Available GR Estimates

    10/36

    10

  • 7/29/2019 Medicaid Expansion-Available GR Estimates

    11/36

    11

  • 7/29/2019 Medicaid Expansion-Available GR Estimates

    12/36

    12

  • 7/29/2019 Medicaid Expansion-Available GR Estimates

    13/36

    13

  • 7/29/2019 Medicaid Expansion-Available GR Estimates

    14/36

    14

  • 7/29/2019 Medicaid Expansion-Available GR Estimates

    15/36

    15

  • 7/29/2019 Medicaid Expansion-Available GR Estimates

    16/36

    16

  • 7/29/2019 Medicaid Expansion-Available GR Estimates

    17/36

    17

  • 7/29/2019 Medicaid Expansion-Available GR Estimates

    18/36

    18

  • 7/29/2019 Medicaid Expansion-Available GR Estimates

    19/36

    19

  • 7/29/2019 Medicaid Expansion-Available GR Estimates

    20/36

    20

  • 7/29/2019 Medicaid Expansion-Available GR Estimates

    21/36

    21

  • 7/29/2019 Medicaid Expansion-Available GR Estimates

    22/36

    22

  • 7/29/2019 Medicaid Expansion-Available GR Estimates

    23/36

    23

  • 7/29/2019 Medicaid Expansion-Available GR Estimates

    24/36

    24

  • 7/29/2019 Medicaid Expansion-Available GR Estimates

    25/36

    25

  • 7/29/2019 Medicaid Expansion-Available GR Estimates

    26/36

    26

  • 7/29/2019 Medicaid Expansion-Available GR Estimates

    27/36

    27

  • 7/29/2019 Medicaid Expansion-Available GR Estimates

    28/36

    28

  • 7/29/2019 Medicaid Expansion-Available GR Estimates

    29/36

    29

  • 7/29/2019 Medicaid Expansion-Available GR Estimates

    30/36

    30

  • 7/29/2019 Medicaid Expansion-Available GR Estimates

    31/36

    31

  • 7/29/2019 Medicaid Expansion-Available GR Estimates

    32/36

    32

  • 7/29/2019 Medicaid Expansion-Available GR Estimates

    33/36

    33

    Appendix

    Worksheets

  • 7/29/2019 Medicaid Expansion-Available GR Estimates

    34/36

    34

  • 7/29/2019 Medicaid Expansion-Available GR Estimates

    35/36

    35

  • 7/29/2019 Medicaid Expansion-Available GR Estimates

    36/36


Joint Medicaid Oversight Committee: Medicaid …Ohio Department of Medicaid Joint Medicaid Oversight Committee: Medicaid Waivers 101 Thursday, April 30, 2015 1 John McCarthy, Director

POTATO WITH ROASTED SWEET OSSOBUCO IN RED WINE · 600 gr ossobucco 300 gr mushrooms 200 gr onion 10 gr garlic 30 ml olive oil 100 gr carrot 80 gr leek 150 gr tomato 100 gr cherry

Asymptotic stability of the critical Fisher-KPP front ...gfaye/articles/StabilityKPPfrontN… · Asymptotic stability of the critical Fisher-KPP front using pointwise estimates Gr

GR-*486**** GR-*441****

Schmersal IP69K Rated Control Devices & Indicator Lights ...stevenengineering.com/pdf/84PUSHBUTTON_N.pdfNDT GR/SW NDT GR/GB NDT GR/RT NDT GR/GN NDT GR/WS NDT GR/BL NDT GR/GR 080 0012

Medicaid Coverage and Innovation - CQ · -KY: Report estimates that Medicaid expansion will create an estimated 40,000 jobs—with average salary of $41,000—and add $30 billion

SC AAP Conference SCDHHS View on Medicaid · By FY 2015, baseline actuarial estimates are that enrollment in the SC Medicaid program will exceed 1.47 million members. For FY 2014

QuickFN: A Simplified Methodology for Societal Risk …/media/Documents/Subject Gr… ·  · 2013-12-06QUICKFN: A SIMPLIFIED METHODOLOGY FOR SOCIETAL RISK ESTIMATES† M Wardman1,3,

Medicaid Financing: An Overview of the Federal Medicaid ... · Medicaid) , Kaiser . Kaiser . TREET P:. Medicaid Financing: An Overview of the Federal Medicaid Matching Rate (FMAP),

Cutting Medicaid: A Prescription to Hurt the Neediest Kids · Budget Office estimates that the block grant like the one proposed in the House 2017 budget would cut Medicaid spending

Centers for Medicare & Medicaid Services, Medicaid

Uninsured eligibles ESTIMATES OF INDIVIDUALS ELIGIBLE FOR QHP OR MEDICAID WHO REMAIN UNINSURED BY ZCTA 2013 AND 2015 JOE CAMPO, SENIOR FORECAST ANALYST

Estimates for the Cost of Interpretation Services for Connecticut Medicaid Recipients

Gr Booklet Debussy Gr

Expanding Access to Medicaid in the American …...estimates the level of public support for the Medicaid expansion in each state, and, second, investigates the role of public support

GAO-08-395CG U.S. Financial Condition and Fiscal Future ... · on CBO’s August 2007 short-term Medicaid estimates and CBO’s December 2005 long-term Medicaid projections under

GR 182435 GR 182435

Importance Weighting Without Importance Weights: …...Resampling (GR) to compute reliable estimates of importance weights using only sample access. Our main motivation is studying

With Need Rising, Medicaid Is at Risk for Cuts · The Urban Institute analysis provides estimates for Medicaid growth assuming a 15 or 20 percent unemployment rate; we extrapolate

Progress Enrolling Children in Medicaid and CHIP: New Estimates from the American Community Survey

21st Century Health Care Challenges: Unsustainable Trends ... · projections based on CBO’s January 2005 short-term Medicaid estimates and CBO’s December 2003 long-term Medicaid

Education Guide - Discovery Centrethediscoverycentre.ca/wp-content/uploads/2019/04/... · 2019. 4. 25. · Eye Lights. Optics. PR - GR 2 GR 2 - 3 GR 3. GR 3 GR 4 GR 4 & 7 GR 5 GR

OVERVIEW AND HISTORY OF MEDICAID: HOW MEDICAID IS … · MEDICAID TODAY • Medicaid covers 1 in 5 Americans • Enrollment: 73,663,050 o Medicaid:67,168,933 o Children’s Health

URBAN INSTITUTE Progress Enrolling Children in Medicaid and CHIP: New Estimates from the American Community Survey G. Kenney, V. Lynch, J. Haley, D. Resnick

New Care Models: Learning from New York State’s Medicaid …€¦ · Medicaid spending growth and bring it back under a global cap. Estimates show that approximately $17bn in future

Utah Medicaid Provider Manual Non-Traditional Medicaid ... Provider... · Utah Medicaid Provider Manual Non-Traditional Medicaid Plan Division of Medicaid and Health Financing Updated

Презентация PowerPoint · filoctpbi gr gr-003.01.03 gr-003.01 .06 gr-2011 gr-2018 hn-8019 green gr-044.02.01 gr-044.02,02 ger-044.02.03 gr-060.02.05 gr-2010 hn-8012 white

Chapter 6 · GR C GRC GR C GR C GR C GR C GR S GR C GRC GR C C GR C Drill-Hole Information 5 mi Distance between drill holes (in miles) ... CHAPTER 6, PLATE 1

Estimates for the Insurance Coverage Provisions of the ... · 7/24/2012  · exchanges or between participating in Medicaid and being uninsured. In addition, CBO estimates some changes

features · studio tk: seating 5.25.20 147 STRB cover lounge chair with privacy Seat COM COL Gr.1 Gr.2 Gr.3 Gr.4 Gr.5 Gr.6 Gr.7 Gr.8 Gr.9 Gr.10 Gr.11 A Lounge Chair – Swivel 28653152

SERVICE MANUAL - Diagramasde.comdiagramas.diagramasde.com/camaras/GR-D370 D371 D375 D390... · 2010. 10. 12. · YF12420062 GR-D370UC, GR-D370US, GR-D371US, GR-D375UC, GR-D375US,

June 2016 Newsletter - Razor Planetresources.razorplanet.com/517501-7241/1089396_June2016.pdf · Preschool Kindergarten GR 1 GR 2 GR 3 GR 4 GR 5 GR 6 Please ... PATRICIA CARNELL

Containing Medicaid Costs: Moving Toward Medicaid Managed … · Containing Medicaid Costs: Moving Toward Medicaid Managed Care April 20, 2012

TIC Catalog A5 v2 - Fcml · PDF filewith fashion designers. ... Gulab GR S Moongi GR S Heera GR S Gunj GR S Jhalaar GR S Kamal GR B Dil GR B Rui Phool GR B Chalk GR B Chalk Border

MISSISSIPPI MEDICAID: an overview and program basics · estimates Mississippi has nearly 3 million residents. For FY 2016, average monthly enrollment for Medicaid and CHIP was 779,298