Table of Contents
State Medicaid Trends:Spending, Coverage and Cost ContainmentVernon K. Smith, Ph.D.HEALTH MANAGEMENT ASSOCIATES
Average Annual Growth Rates for Total Medicaid Spending
Key Factors Causing Medicaid Spending Growth in 2002
U.S. Medicaid Enrollment IncreasesFY 1998 – FY 2003
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Increasing Number of Persons Without Health Insurance Adds to Medicaid Enrollment
Total SCHIP Enrollment in 50 Statesand the District of Columbia
U.S. Medicaid Enrollment Growth: Children and Families Vs. Aged and Disabled1998 - 2001
Sources of Growth in U.S. Medicaid Expenditures, 2002 to 2003
U.S. Prescription Drug Spending
Hospital Spending: the Current Leading Contributor to Cost Increases
HMOs: Retreating from Managed Managed Care
Average U.S. HMO Premium Increases 1988 – 2003
Employer Strategy: Shift Costs to Employees
Medicaid Cost Containment Plans FY 2003
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Medicaid Pharmacy Policy Changes FY2003 45 States
States Undertaking Medicaid Cost Containment Strategies: FY2002 and FY2003
Other FY2003 Medicaid Strategies
Medicaid and All Programs FY 2002 and FY 2003
Number of States Expecting a Medicaid Budget Shortfall in FY2003
Total State Budget Shortfalls FY 2002 – FY 2004
Contributing Factors to State Budget Shortfalls in FY 2002
Change in State Tax Revenue Collections, 1992-2002
Increases in State General Fund Spending FY 1996-2003
Looking Ahead to FY 2004
Federal Fiscal Relief Helps Jobs and Growth Tax Relief Reconciliation Act of 2003
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