Medicaid Costs Steep For States

To make up for the loss of extra federal Medicaid spending this June, states have boosted their spending on the program by an average of 29 percent in the current year, according to new data released by the Kaiser Family Foundation Thursday.

The majority of the increase comes from the loss of more than $100 billion in federal stimulus funds, which helped states with the substantial jump in Medicaid enrollment during the economic downturn. However, those federal funds ran out in June, leaving states to carry the burden of covering nearly 60 million people.

According to the foundation’s Commission on Medicaid and the Uninsured, states do not have the means to handle the steep Medicaid cost inflation. As a result, nearly every state has resorted to tough measures to cut costs, such as reducing payment rates to doctors and hospitals, eliminating benefits and increasing the co-payments.

"Unemployment remains high with increasing numbers of poor and uninsured keeping pressure on state budgets and Medicaid programs to meet growing needs," said Diane Rowland, the commission's executive director, CNN reports. "But the cumulative effect of two recessions since 2001 and a decade of constrained spending has left no cushion and many of the latest cuts will hit at the core of the Medicaid program."

Some beneficiaries are also paying more for coverage. An estimated 19 states have instituted or increased co-payments this year or last year. In order to lower costs while still providing access to primary care providers, states are pushing more Medicaid participants into managed care programs. Over 65 percent of the nation's 54 million Medicaid beneficiaries in October 2010 were already enrolled in some form of managed care, according to CNN. “We’re on an unsustainable path,” said Mike Schrimpf, communications director for the Republican Governors Association, The Washington Post reports. “Every year Medicaid takes up a greater share of most state budgets. . . . Every dollar spent on Medicaid necessarily comes out of somewhere else, so it’s taking away from every other item in the budget.”
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