tci Medicare Compliance & Reimbursement - 2003 Issue 11

Medicaid: CONGRESS FACES GRIM CHOICES OVER MEDICAID CUTS

To cut over $90 billion from federal Medicaid spending growth over ten years, Congress has few options, analysts warn. In general, the federal government “doesn’t decide who gets Medicaid,” notes Center on Budget and Policy Priorities analyst Richard Kogan. Except for a base population of so-called mandatory beneficiaries, states make the call about who actually receives coverage among beneficiary groups Congress has said are eligible for Medicaid. So when it comes to cost cutting at the federal level, Congress essentially “can only decide to pay states less,” he says. In search of significant savings...

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