Medicaid Matching Formula:
Effects of Need Indicators on New York's Funding
HEHS-97-152R: Published: Jun 9, 1997. Publicly Released: Jun 9, 1997.
William J. Scanlon
Pursuant to a congressional request, GAO provided an analysis of what New York's federal Medicaid matching percentage and funding would have been if the current matching formula had included certain factors that affect state financing burdens, such as the number of people in poverty and the cost of health care services.
GAO noted that: (1) it estimated that, had the Medicaid matching formula reflected poverty and other factors affecting state financing burdens between fiscal years (FY) 1989 and 1996, New York's matching percentage would have fluctuated between 50 and 60 percent, depending on the particular year in question and the indexes used; (2) on the basis of these rates, GAO estimated that the state would have received between $3.4 billion and $6.5 billion in additional federal assistance during this period; (3) because recent trends in poverty and health care costs have adversely affected the state's financing burdens, the state's matching percentage would continue to increase in FY 1997 and 1998; and (4) with a modified matching formula, GAO estimates federal funding for New York's Medicaid program would be between $4.9 billion and $7.2 billion higher than under the current formula based on projected spending for these years.
Find Recent Work on Health Care »
Medicaid:
Data Completeness and Accuracy Have Improved, Though Not All Standards Have Been Met
Medicare Severe Wound Care:
Spending Declines May Reflect Site of Care Changes; Limited Information Is Available on Quality
GAO-21-92: Published: Jan 4, 2021. Publicly Released: Jan 4, 2021.
Defense Health Care:
Efforts to Ensure Beneficiaries Access Specialty Care and Receive Timely and Effective Care
Medicaid Long-Term Services and Supports:
Access and Quality Problems in Managed Care Demand Improved Oversight
GAO-21-49: Published: Nov 16, 2020. Publicly Released: Dec 16, 2020.
Drug Pricing Program:
HHS Uses Multiple Mechanisms to Help Ensure Compliance with 340B Requirements
Substance Use Disorder:
Reliable Data Needed for Substance Abuse Prevention and Treatment Block Grant Program
Indian Health Service:
Actions Needed to Improve Oversight of Provider Misconduct and Substandard Performance
Clinical Labs:
Studies Suggest Biopsy Specimen Misidentification and Contamination Errors Are Infrequent
CMS Needs More Information on States' Financing and Payment Arrangements to Improve Oversight
Military Health Care:
Defense Health Agency Processes for Responding to Provider Quality and Safety Concerns
Explore our Key Issues on Health Care
Border Security and Immigration
Children's Health and Safety
Improving Federal Programs that Serve Tribes and Their Members - High Risk Issue
Managing Risks and Improving VA Health Care
Medicaid - High Risk Issue
Medical Product Oversight - High Risk Issue
Medicare - High Risk Issue
Prescription Drug Spending
Supports and Services for Transitioning Veterans
Toxic Chemicals - High Risk Issue
Women and Gender in Public Policy