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Medicaid in Transition: Proposed Changes in Funding Mechanisms and Their Consequences

Published:December 07, 2017DOI:https://doi.org/10.1016/j.acap.2017.11.008
      Medicaid, enacted in 1965, has grown into the nation's largest insurer and is now the bulwark of health care for low-income children. Twenty-three percent of all US residents are enrolled in Medicaid; this includes 37 million, or almost 40%, of the nation's children.
      • Medicaid and CHIP Payment and Access Commission (MACPAC)
      Child enrollment in CHIP and Medicaid by state, FY 2016.
      • Medicaid and CHIP Payment and Access Commission (MACPAC)
      Medicaid and CHIP enrollment as a share of the US population, 2015.
      • Kaiser Family Foundation
      Further, Medicaid is the insurer for 69% of children with special health care needs.
      • Smith V.K.
      • Gifford K.
      • Ellis E.
      • et al.
      Implementing coverage and payment initiatives: results from a 50-state Medicaid budget survey for state fiscal years 2016 and 2017.
      Medicaid has had a profound impact on child health. For example, Medicaid has reduced uninsurance significantly among low-income children and has even contributed substantially to offsetting both the prevalence and impact of child poverty.
      • Majerol M.
      • Newkirk V.
      • Garfielld R.
      The uninsured: a primer—key facts about health insurance and the uninsured in America.
      • Wherry L.
      • Kenney G.
      • Sommers B.
      The role of public health insurance in reducing child poverty.
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      References

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        Child enrollment in CHIP and Medicaid by state, FY 2016.
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        • Medicaid and CHIP Payment and Access Commission (MACPAC)
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