For 15 years, the Kaiser Commission on Medicaid and the Uninsured and Health Management Associates have conducted surveys of Medicaid programs across the country. The National Association of Medicaid Directors has collaborated on the project since 2014. This brief provides a look back at the enrollment and spending trends as well as the multitude of policy actions taken by states across key areas: eligibility and application processes, provider rates and taxes, benefits, pharmacy and long-term care since as well as highlighting data on managed care and delivery system reforms. A look back at this work shows three key findings:
- Economic changes have significant effects on Medicaid programs;
- States have generally moved to expand Medicaid eligibility and streamline enrollment processes over time;
- Medicaid is a dynamic program, with states constantly implementing initiatives to transform how care is delivered and to increase value.