Charting the road to coverage. Enhancing value in health care.

The Robert Wood Johnson Foundation is committed to ensuring everyone in America has quality, affordable health insurance and access to high-quality care. To support improvements to systems of care and coverage, the Foundation funds robust programs that provide expert technical assistance to states across the country.

Economic Impact of Medicaid

Check out our ongoing series of national and state-based reports, tools and presentations on the state economic impact of Medicaid.

Learn More

State Health Reform Assistance Network

The State Network supports states as they implement coverage provisions of the Affordable Care Act, giving more Americans access to quality, affordable health insurance.

See Resources

State Health and Value Strategies

State Health and Value Strategies (SHVS) supports states’ efforts as they work to improve population health and reform the delivery of health care services.

See Resources

Our Most Recent Work

June 22, 2017

Resources for States on Medicaid Financing Proposals

A major element of the federal legislative proposals to repeal and replace the Affordable Care Act is a change to the financing structure for Medicaid. Understanding the effect this funding change will have on Medicaid programs is a critical priority for states. The State Health and Value Strategies program is working to analyze the financing changes from a state perspective.
Jun 16, 2017 Issue Brief

The American Health Care Act (AHCA), as passed by the House of Representatives on May 4, 2016, would overhaul federal financing of state Medicaid programs, and for the first time, would cap federal Medicaid funding. As policymakers debate the potential implications of per capita caps, it has been suggested that per capita caps are really no different than Medicaid managed care—a concept with which states are fully familiar and well able to manage. This policy brief tests that hypothesis by examining the similarities and differences between the federal per capita cap and a state’s per capita “cap” in Medicaid managed care spending.
Jun 6, 2017 Webinar

Following the House’s passage of the American Health Care Act (AHCA) and the Senate’s on-going repeal and replace negotiations, it is clear that significant changes to federal Medicaid financing remain in play. Building on past State Network webinars that have reviewed the AHCA Medicaid financing provisions and identified their implications for states, the State Network, in partnership with technical experts from Manatt Health, held a webinar that provided a deep-dive on critical issues that will influence the impact of capped funding on states, including choice of base year, trend rates, and treatment of supplemental payments. The discussion was informed by updated modeling based on the House-passed version of the AHCA.