Medicaid Spending

CMS: Healthcare Spending Accelerated, Reaching $4.5T in 2022

December 14, 2023 - US healthcare spending picked back up last year, reaching a total of $4.5 trillion in 2022, according to the latest numbers from CMS. Healthcare spending growth accelerated, growing by 4.1 percent in 2022, the data published in Health Affairs showed. That is faster than the increase of 3.2 percent in 2022 but significantly slower than the rate of...

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Healthcare Spending to Pick Up Pace, Reaching $7.2T by 2031

by Jacqueline LaPointe

National healthcare spending slowed during the COVID-19 public health emergency (PHE) as the entire industry experienced severe disruptions to standard care. Now that the PHE has ended, healthcare...

Over 230 House Reps Join Fight Against Medicaid DSH Cuts

by Jacqueline LaPointe

Enacting scheduled cuts to Medicaid Disproportionate Share Hospital (DSH) payments would leave the most vulnerable patients and providers open to more access to care problems, a bipartisan group of...

National Healthcare Spending Grows 2.7% as COVID-19 Relief Runs Dry

by Jacqueline LaPointe

National healthcare spending is slowing down in the US compared to a significant 10.3 percent increase in 2020. However, healthcare costs remain high as US health expenditures reach $4.3...

Senate Scraps Medicaid DSH Cuts in Latest Build Back Better Act

by Jacqueline LaPointe

An updated Build Back Better Act from the Senate Finance Committee does not include provisions that would reduce Medicaid Disproportionate Share Hospital (DSH) payments. A previous version of the bill...

Before COVID-19, Healthcare Spending Increased by 4.6%

by Jacqueline LaPointe

National healthcare spending continued to grow right before the COVID-19 pandemic hit, increasing by 4.6 percent in 2019 to a total of $3.8 trillion, the American Medical Association (AMA)...

National Healthcare Spending to Climb to 19.7% of GDP by 2028

by Jacqueline LaPointe

Researchers at the Office of the Actuary at CMS project national healthcare spending to grow at an average annual rate of 5.4 percent from 2019 through 2018, outpacing the average projected growth in...

1% of People Account for 22% of Total Healthcare Spending

by Jacqueline LaPointe

The majority of total healthcare spending is concentrated in a small percentage of the population, according to a new statistical brief from the Agency for Healthcare Research and Quality...

National Healthcare Spending Increased to $3.6T in 2018

by Jacqueline LaPointe

National healthcare spending in 2018 grew at a rate of 4.6 percent to $3.6 trillion, which translated to about $11,172 per person, the Office of the Actuary at CMS recently reported. The growth rate...

CMS Looks to Tighten Medicaid Supplemental Payment Arrangements

by Jacqueline LaPointe

A rule proposed by CMS on Tuesday would enable greater transparency and oversight of Medicaid supplemental payments to providers, which have proliferated in the last couple of years. The Medicaid...

5 States Challenge Medicaid Payment Diversion Rule in Court

by Jacqueline LaPointe

California Attorney General Xavier Becerra is leading a multi-state effort to upend a new final rule from CMS that bars states from diverting Medicaid payments to third parties on behalf of providers,...

Medicare, Medicaid Spending Per Enrollee Slower Than Private Plans

by Jacqueline LaPointe

Medicare and Medicaid spending saw significantly slower growth per enrollee than private payer expenditures over the last decade, a new report from the Urban Institute shows. The public payers may...

Healthcare Spending Growth Slows, Increasing 3.9% in 2017

by Jacqueline LaPointe

Healthcare spending grew at a rate of 3.9 percent in 2017, slowing to rates observed during the 2008 to 2013 period, CMS actuaries recently reported. The analysis from the Office of the Actuary at...

Steady, Moderate Growth for Healthcare Prices and Spending in 2018

by Jacqueline LaPointe

Healthcare prices and spending are seeing steady, but moderate growth, the Altarum Center for Value in Health Care recently reported. Healthcare prices increased just two percent in the second quarter...

CMS Boosting Audits to Combat Medicaid Fraud, Improper Payments

by Jacqueline LaPointe

In efforts to prevent Medicaid fraud and improper payments, CMS plans to increase the number of audits in the public healthcare program and optimize state-provided claims and provider data, according...

Medicare Spending, Prices Drive Healthcare Spending Growth

by Jacqueline LaPointe

The healthcare share of the economy should reach 19.7 percent by 2026 as the average annual rate of national healthcare spending growth rate and Medicare spending accelerates, the CMS Office of the...

Service Prices Drove $933.5B Increase in Healthcare Spending

by Jacqueline LaPointe

Service prices and intensity represented over one-half of the $933.5 billion increase in healthcare spending between 1996 and 2013, a new Journal of the American Medical Association study...

Hospitals Saw No Effect on Margins After Medicaid Expansion

by Jacqueline LaPointe

The net impact of Medicaid expansion on non-profit hospital finances was close to zero because uncompensated care cost reductions did not offset Medicaid reimbursement shortfalls, a recent...

Pediatric Healthcare Costs 35% Less at Community Health Centers

by Jacqueline LaPointe

Pediatric healthcare costs were $1,133 on average among children primarily using community health centers for care versus $1,750 among children seeing other providers, representing a 35 percent...

32 Orgs to Cut Healthcare Costs, Use Under CMS Community Demo

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As part of the Accountable Health Communities Model, CMS recently selected 32 organizations to participate in two of the three program tracks that aim to lower healthcare costs and utilization by...

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