Medicaid: Spending Pressures Drive States Toward Program Reinvention
(Testimony, 04/04/95, GAO/T-HEHS-95-129).

The $131 billion Medicaid program is at a crossroads.  Between 1985 and
1993, Medicaid costs tripled and the number of beneficiaries rose by
more than 50 percent.  Medicaid costs are projected to rise to $260
billion, according to the Congressional Budget Office.  Despite federal
and state budgetary constraints, several states are pressuring to expand
the program and enroll hundreds of thousands of new beneficiaries.  The
cost of expanded coverage, they believe, will be offset by the
reallocation of Medicaid funds and the wholesale movement of
beneficiaries into some type of managed care arrangement.  This
testimony examines (1) federal and state Medicaid spending, (2) some
states' efforts to contain Medicaid costs and expand coverage through
waiver of federal requirements, and (3) the potential impact of these
waivers on federal spending and on Medicaid's program structure overall.

--------------------------- Indexing Terms -----------------------------

 REPORTNUM:  T-HEHS-95-129
     TITLE:  Medicaid: Spending Pressures Drive States Toward Program 
             Reinvention
      DATE:  04/04/95
   SUBJECT:  Medicaid programs
             Quality assurance
             Waivers
             Health care services
             Health care cost control
             Health services administration
             Disadvantaged persons
             Eligibility criteria
             State-administered programs
IDENTIFIER:  Oregon
             Hawaii
             Kentucky
             Tennessee
             Rhode Island
             Florida
             Ohio
             
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