Medicaid:

Spending Pressures Spur States Toward Program Restructuring

T-HEHS-96-75: Published: Jan 18, 1996. Publicly Released: Jan 18, 1996.

Additional Materials:

Contact:

Office of Public Affairs
(202) 512-4800
youngc1@gao.gov

GAO discussed how states are addressing rising Medicaid costs, focusing on the: (1) federal mandates that have led to Medicaid cost growth; (2) states' use of section 1115 waivers for managed care programs; and (3) states' experiences with section 1115 managed care programs. GAO noted that: (1) federal mandates, medical price inflation, and higher provider reimbursements have contributed to rising Medicaid costs; (2) 22 states have sought waivers from federal regulations to contain Medicaid costs; (3) some states have mandated the enrollment of acute care populations into managed care programs, while expanding coverage to previously ineligible individuals; (4) Arizona has lowered its Medicaid spending by millions through the use of competitive bidding and has developed information systems that will collect and analyze medical encounter data; and (5) adequate planning and appropriate quality assurance systems are essential for Medicaid's effective transition to managed care.

Apr 26, 2017

Apr 17, 2017

Apr 14, 2017

Apr 10, 2017

Mar 31, 2017

Mar 2, 2017

Feb 27, 2017

Feb 15, 2017

Feb 13, 2017

Feb 8, 2017

Looking for more? Browse all our products here