@mathersj.bsky.social
Medicaid policy & financing @kff.org
KFF line chart titled “Medicaid’s share of spending has grown but remains lower than that of private insurance and Medicare.” The chart shows the share of total annual national spending on personal health care, by payer.
Our new brief offers a look at how Medicaid’s coverage and share of national health spending has changed over time: https://on.kff.org/41DE9nR
08.09.2025 16:21 — 👍 3 🔁 5 💬 1 📌 0The 92% figure comes from our KFF analysis.
www.kff.org/medicaid/iss...
KFF donut chart titled “Provisions that only apply to ACA expansion states account for roughly half of the potential federal Medicaid cuts in the House reconciliation bill.” the chart shows CBO’s estimated 10-year federal spending cuts by policy: work requirements for ACA group ($344B); eligibility redeterminations for ACA group ($64B); all other ACA ($19B); eligibility rule ($167B); provider taxes ($89B); limits on state directed payments ($72B); and other ($38B).
Provisions that apply only to expansion states account for roughly half of the federal Medicaid cuts in the House-passed reconciliation bill.
The proposed changes in the Senate Finance text would amplify the effects on expansion states: on.kff.org/4ejxvbx
Hard to overstate how useful this resource is.
A few more fiddly Marketplace policies didn't make it into the Senate bill (e.g., SEP verification requirements) — probably because of Byrd concerns — but most consequential policies (including ending automatic re-enrollment with subsidies) remain
KFF donut chart titled “Medicaid is the primary payer for over 6 in 10 residents in nursing facilities.” The chart shows the distribution of nursing facility residents by primary payer source: 63% Medicaid, 24% Private/Other, 13% Medicare. The total is 1.2 million residents.
The Medicaid reductions in the House reconciliation bill could have big implications for the 1.2 million people living in nearly 15,000 federally certified nursing facilities.
Medicaid is the primary payer for over 6 in 10 residents in nursing facilities: on.kff.org/3FfHscW
Medicaid Cuts Could Especially Harm Persons Needing Home-Based Supports jamanetwork.com/journals/jam...
28.05.2025 04:17 — 👍 47 🔁 26 💬 5 📌 4
A provision in the House reconciliation bill seeks to reduce federal Medicaid funding to states as a penalty for providing coverage to undocumented immigrants with state funds.
Our analysis examines its potential impact on state Medicaid spending:
From new Medicaid work requirements to lowering expansion match rates for states that use their own funds to cover undocumented immigrants, the reconciliation bill could reshape how states fund and manage #Medicaid.
We outline the proposed provisions:
Our new @kff.org explainer on Medicaid expansion describes enrollment and spending in expansion and non-expansion states, including who is covered by Medicaid expansion: www.kff.org/medicaid/iss...
25.04.2025 18:46 — 👍 7 🔁 2 💬 0 📌 0
Important new analysis from @kff.org on impact of capping the ACA Medicaid expansion. This is under serious consideration by House GOP and threatens Medicaid for 20 million people.
Over 10 years 90% match would drop to 69% shifting $246 billion to states.
