Healthcare In Crisis: States Expanding Medicaid Under the Affordable Care Act Expect 18% Enrollment Growth in Fiscal Year 2015, With Federal Funds Picking Up Most of the Cost

Wednesday, October 15, 2014

States Expanding Medicaid Under the Affordable Care Act Expect 18% Enrollment Growth in Fiscal Year 2015, With Federal Funds Picking Up Most of the Cost

The 28 states (including the District of Columbia) implementing the Medicaid expansion for FY 2015 expect to see the largest enrollment and spending growth — an 18 percent increase in enrollment and an 18.3 percent increase in total Medicaid spending in FY 2015, on average. The spending growth is mostly driven by the boost in new enrollment that is financed by 100 percent federal funds. With the additional federal dollars, state spending in expansion states is projected to increase at a slower rate of 4.4 percent in FY 2015.

Without the coverage expansion and federal funding, the 23 states not implementing the ACA Medicaid expansion project an average 5.2 percent enrollment growth for fiscal year 2015, and project state spending to increase at a similar rate as their total Medicaid spending (6.8% and 6.5%, respectively).

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Statistics Collection

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About 75,000 patients with hospital-related infections died in 2011.
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About 27.8 million people without coverage are working, either part or full time.
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86.7 million Americans were uninsured at some point in 2007 and 2008.
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Roughly one-half of America's hospitals operating in the red
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