3 notes on Medicaid enrollment, spending

Medicaid enrollment is dropping across states while total spending in the program increased modestly in fiscal year 2019, according to a policy brief published by the Kaiser Family Foundation.

Three notes on enrollment and spending in the Medicaid program:

1. States have budgeted for near-flat enrollment growth for 2020. Comparatively, states saw enrollment decline nearly 2 percent in fiscal year 2019.

2. In fiscal 2019, total spending for the Medicaid program slowed to 2.9 percent due to the enrollment declines. However, spending is likely to increase to average growth rates in 2020 due to higher costs for prescription drugs, provider rate increases and chronic care costs.

3. "Looking ahead beyond FY 2020, economic conditions and the outcomes of federal and state elections in November 2020 are likely to have major implications for Medicaid, state budgets, and enrollees as debate about Medicaid expansion, demonstration waivers, the ACA and broader health reform continue to be a major focus for candidates and voters," according to the report.

Read the full policy brief here.

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