KFF examines Medicaid enrollment, spending growth in 2015, 2016

October 14, 2015

The Affordable Care Act's Medicaid expansion resulted in record increases in Medicaid enrollment and spending nationally in fiscal year 2015, with both rising an average of nearly 14%, according to the 50-state Medicaid budget survey by the Kaiser Family Foundation's Commission on Medicaid and the Uninsured. The survey of Medicaid directors, conducted with Health Management Associates, shows big differences across states driven largely by the states' decisions on the Medicaid expansion. The 29 states expanding Medicaid in FY2015 reported enrollment and total Medicaid spending growth nearly three times the rate seen in non-expansion states.

The survey also finds that 39 states are contracting with risk-based MCOs. In other findings, 37 states in either FY2015 or FY2016 adopted or expanded payment and delivery system initiatives such as patient-centered medical homes, ACOs and health homes in an attempt to control costs, reward quality or coordinate care. Over two-thirds of states in FY 2015 and half in FY 2016 say they've refined their pharmacy programs to control spending for high-cost and specialty drugs.
Related News:
KFF finds states that didn't expand Medicaid face higher costs - NPR
Medicaid costs rise, some states are spared: KFF says - The New York Times
Medicaid spending rises under Obamacare - The Hill
Report: Medicaid costs hit record high as states look for efficiencies - USA Today