Statewide Section 1115 Demonstrations' Impact on Eligibility, Service Delivery, and Program Cost

T-HEHS-95-182: Published: Jun 21, 1995. Publicly Released: Jun 21, 1995.

Additional Materials:


Office of Public Affairs
(202) 512-4800

GAO discussed the states' efforts to reinvent their Medicaid programs through section 1115 waivers, focusing on: (1) Medicaid spending trends; (2) states' efforts to contain Medicaid costs and expand coverage through section 1115 waivers; and (3) the waivers' potential impact on Medicaid spending. GAO noted that: (1) federal and state governments spent $104 billion more on Medicaid in 1994 than they did a decade previously; (2) Medicaid now consumes about 6 percent of all federal outlays; (3) section 1115 waivers free states from certain Medicaid restrictions on the use of managed care delivery systems and allow states to expand Medicaid coverage to individuals not normally eligible for Medicaid; (4) section 1115 waivers require states to operate alternative quality assurance systems and collect medical encounter data so they can monitor service use and access; (5) almost 3 million new beneficiaries could be added in 10 states with approved waivers; and (6) section 1115 demonstrations could increase federal spending, since the Health Care Financing Administration allows states to apply the federal share of Medicaid savings from managed care to expand Medicare coverage.

Mar 19, 2018

Mar 8, 2018

Feb 20, 2018

Feb 8, 2018

Feb 5, 2018

Jan 30, 2018

Jan 23, 2018

Jan 17, 2018

Jan 16, 2018

Looking for more? Browse all our products here