As joint federal-state programs, Medicaid provides medical care for certain poor and low-income people, and the Children’s Health Insurance Program (CHIP) provides coverage mostly for children in low-income families that do not qualify for Medicaid. Federal spending for Medicaid and CHIP was $265 billion and $9 billion, respectively, in 2013. By CBO’s projections, federal Medicaid spending will rise rapidly over the coming decade because of expanding eligibility under the Affordable Care Act (see CBO’s ongoing work on that legislation), the aging of the population, and rising costs per beneficiary. The agency’s work on Medicaid and CHIP includes projections of future federal spending for the programs, cost estimates of specific legislative proposals, and analyses with a broader perspective.
Medicaid and CHIP
Jul 2014 - Why has Medicare's prescription drug program cost less than anticipated when the program was created? How has competition between plan sponsors affected spending? How do Medicare Part D drug prices compare to those in Medicaid?
Jul 2014 - If current laws remained generally unchanged, federal debt held by the public would exceed 100 percent of GDP by 2039 and would be on an upward path relative to the size of the economy—a trend that could not be sustained indefinitely.
Updated Estimates of the Effects of the Insurance Coverage Provisions of the Affordable Care Act, April 2014
Apr 2014 - CBO and JCT have lowered their estimates of the net federal cost of the ACA’s insurance coverage provisions—to $1.4 trillion over the next decade, about $100 billion less than estimated in February.
Feb 2014 - Under current law, deficits will drop through 2015 but rise thereafter, boosting the already high federal debt, CBO projects. Economic growth will be solid in the near term, but unemployment will not drop below 6.0 percent until 2017.
Dec 2013 - Most of the 16 options that CBO examined would either decrease federal spending on health programs or increase revenues (or equivalently, reduce tax expenditures) as a result of changes in tax provisions related to health care.
Dual-Eligible Beneficiaries of Medicare and Medicaid: Characteristics, Health Care Spending, and Evolving Policies
Jun 2013 - People eligible for both Medicare and Medicaid benefits—known as “dual-eligible beneficiaries”—are a varied group, but many have extensive health care needs and account for a disproportionate share of spending on Medicare and Medicaid.
Feb 2013 - During the past 40 years, federal spending for major means-tested programs and tax credits for low-income households more than tripled as a share of gross domestic product. In 2012, such spending totaled $588 billion.
- Working PaperJuly 30, 2014
- ReportJuly 30, 2014
- Blog PostJuly 28, 2014
- Data or Technical InformationJuly 25, 2014
What Are the Causes of Projected Growth in Spending for Social Security and Major Health Care Programs?Blog PostJuly 18, 2014
- GraphicJuly 16, 2014
- ReportJuly 16, 2014
- ReportJuly 15, 2014
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