Medicaid Formula:
Effects of Proposed Formula on Federal Shares of State Spending
HEHS-99-29R: Published: Feb 19, 1999. Publicly Released: Feb 19, 1999.
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Pursuant to a congressional request, GAO provided information on how the federal share of states' Medicaid spending would be affected if an alternate formula, known as the Equitable Federal Medical Assistance Percentage formula, replaced the existing Federal Medical Assistance Percentage formula, focusing on: (1) calculating the matching percentages; (2) how federal funding for each state would be altered by the formula; and (3) the assumptions described in the bill proposing the switch to the alternate formula.
GAO noted that: (1) using the formula and assumptions specified in the bill, federal matching percentages for fiscal year (FY) 1999 would change in most states; (2) several states would experience substantial changes; (3) for example, New York and California would have the largest matching percentage increases; (4) the federal share in New York would increase from 50 to 69 percent of its Medicaid spending, and in California from 52 to 71 percent; (5) in contrast, the greatest decreases would occur in Montana and Utah; (6) the federal share in those states would decline from 72 to 50 percent; and (7) had these revised federal matching percentages been applied to FY 1997 spending, New York would have received about $17.1 billion in federal assistance instead of the $12.4 billion it actually received, an increase of $4.8 billion, or 39 percent, California would have received an additional $3.3 billion, 38 percent more than it actually received, Montana would have received $190 million instead of $271 million, a reduction of $80 million, or 30 percent, and federal assistance to Utah would have been reduced to $134 million, 30 percent less than it actually received.
Jan 21, 2021
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Rural Hospital Closures:
Affected Residents Had Reduced Access to Health Care ServicesGAO-21-93: Published: Dec 22, 2020. Publicly Released: Jan 21, 2021. -
Health Care Funding:
Federal Obligations to and Funds Received by Certain Organizations Involved in Health-Related Services, 2016 through 2018GAO-21-188R: Published: Dec 21, 2020. Publicly Released: Jan 21, 2021.
Jan 14, 2021
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Medicaid:
Data Completeness and Accuracy Have Improved, Though Not All Standards Have Been MetGAO-21-196: Published: Jan 14, 2021. Publicly Released: Jan 14, 2021.
Jan 4, 2021
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Medicare Severe Wound Care:
Spending Declines May Reflect Site of Care Changes; Limited Information Is Available on QualityGAO-21-92: Published: Jan 4, 2021. Publicly Released: Jan 4, 2021.
Dec 22, 2020
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Defense Health Care:
Efforts to Ensure Beneficiaries Access Specialty Care and Receive Timely and Effective CareGAO-21-143: Published: Dec 22, 2020. Publicly Released: Dec 22, 2020.
Dec 16, 2020
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Medicaid Long-Term Services and Supports:
Access and Quality Problems in Managed Care Demand Improved OversightGAO-21-49: Published: Nov 16, 2020. Publicly Released: Dec 16, 2020.
Dec 14, 2020
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Drug Pricing Program:
HHS Uses Multiple Mechanisms to Help Ensure Compliance with 340B RequirementsGAO-21-107: Published: Dec 14, 2020. Publicly Released: Dec 14, 2020. -
Substance Use Disorder:
Reliable Data Needed for Substance Abuse Prevention and Treatment Block Grant ProgramGAO-21-58: Published: Dec 14, 2020. Publicly Released: Dec 14, 2020.
Dec 10, 2020
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Indian Health Service:
Actions Needed to Improve Oversight of Provider Misconduct and Substandard PerformanceGAO-21-97: Published: Dec 10, 2020. Publicly Released: Dec 10, 2020. -
Clinical Labs:
Studies Suggest Biopsy Specimen Misidentification and Contamination Errors Are InfrequentGAO-21-59: Published: Nov 10, 2020. Publicly Released: Dec 10, 2020.
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