Presented made by William J. Arnone at the summer 2017 meetings of the National Association of Insurance Commissioners in Philadelphia, PA, August 8, 2017.
This infographic addresses how cuts to federal Medicaid funding under a shift from current law (as of June 2017) to a federal cap could affect Americans. It is based on the brief Medicaid and Federal Funding Caps: Implications for Access to Health Care and Long-Term Services and Supports among Vulnerable Americans, which analyzes in depth the policy of capping federal Medicaid spending through per capita caps and the implications of such a policy for states’ ability to provide health care and long-term services and supports to vulnerable Americans.
Medicaid Reform Could Shift Risk onto States and the Most Vulnerable Americans and Harm Population Health, According to New Analysis
WASHINGTON, DC – Medicaid insures roughly 69 million people in the United States and finances nearly half of all births. It is the leading funder of long-term services and supports for seniors and people with disabilities and is at the front lines of efforts to combat the opioid epidemic. However, legislation currently under consideration by Congress would fundamentally alter the structure of Medicaid and create a permanent and growing chasm between actual health care costs and federal contributions to Medicaid. This could have implications for access to health care and long-term services and supports among many of the most vulnerable Americans, according to a set of briefs released today by the National Academy of Social Insurance.
In an environment of uncertainty surrounding the future of Medicaid policy and funding, addressing the social determinants of health to improve the health status of Medicaid beneficiaries could be dismissed as an unaffordable luxury. But there is a strong business case for state Medicaid programs to address the social determinants of health as a key strategy for providing cost-effective, efficient care. By partnering with state and local agencies to address the social determinants of health, state Medicaid leaders may enhance their ability to control costs and strengthen the program’s financial sustainability over the long term.
Medicaid and Federal Funding Caps: Implications for Access to Health Care and Long-Term Services and Supports among Vulnerable Americans
Health care costs in the United States are by far the highest in the world and controlling them is a perennial challenge of public policy. Any effort to balance the costs and fundamental goals of a program as complex and sizable as Medicaid poses challenges for both states and the federal government. However, controlling overall Medicaid costs and capping federal Medicaid spending are fundamentally different approaches. Recent proposals to curtail the federal government’s funding commitment to health care and long-term services and supports for the nation’s poorest and most vulnerable populations would shift a substantial share of the program’s cost burden onto states.
The weekly No Jargon podcast, produced by the Scholars Strategy Network (SSN), presents interviews with top scholars on the politics, policy problems, and social issues facing the nation. Powerful research, intriguing perspectives - and no jargon.
In this episode, SSN Executive Director Avi Green interviews Academy Vice President for Policy Benjamin Veghte about the role of Social Security, Medicare, Medicaid, and paid leave programs in coping with the economic security challenges facing Americans. Veghte suggests ways these programs can adapt to a changing society and economy.
Click the image below to listen.
PRESS RELEASE: Nonpartisan Report Offers Menu of Options to Policymakers for Strengthening Social Security, Medicare, Medicaid, Unemployment Insurance
WASHINGTON, D.C. – In an ambitious new report released today, the National Academy of Social Insurance provides detailed, evidence-based analyses on a range of policy options for modernizing the nation’s social insurance system. The Report to the New Leadership and the American People on Social Insurance and Inequality takes stock of policy challenges facing the social insurance infrastructure, then discusses potential new directions that policymakers might take to strengthen the programs.
PRESS RELEASE: Nonpartisan Expert Panel Recommends Steps to Strengthen Medicaid’s Role in Building a Culture of Health
WASHINGTON, D.C.—In a new report, panel members reflecting a diverse range of skills and knowledge announced a series of steps that would enable Medicaid to build on its essential role as an insurer of more than 70 million people and increase its capacity to address the underlying social determinants of health.
WASHINGTON, DC— The National Academy of Social Insurance announced the nomination of 59 distinguished social insurance experts to Academy Membership today. (See below for a complete list of nominated individuals and their affiliations.)
Strengthening Medicaid as a Critical Lever in Building a Culture of Health is a nonpartisan study panel report which offers a series of steps that would enable Medicaid to leverage its unique role as an insurer to increase its capacity for addressing the underlying social determinants of health. The study panel was convened to assess the current and possible future role of Medicaid in building a Culture of Health. The panel included state Medicaid program directors, public health and health policy experts, health researchers, medical and health professionals, and health plan representatives.