The coronavirus pandemic of 2020 has created a seemingly paradoxical scenario for the finances of health care providers. While states were rushing to build field hospitals to prepare for a surge of COVID-19 patients, traditional revenue streams for providers completely dried up: elective procedures were suspended and social distancing protocols limited the number of patients in office settings. A public health crisis became a health care crisis, as COVID-19 revealed the faults in the way necessary and critical health care services are paid for in America.
Medicaid and the Indian Health Service: States to Receive Additional Federal Funds
Deborah Bachrach and Julian Polaris, Manatt Health Solutions
Recently, the Centers for Medicare and Medicaid Services (CMS) announced plans to increase the range of Medicaid services furnished by Indian Health Services (IHS) eligible for 100 percent federal match. This proposal, which will effectively reduce states’ cost for Medicaid expansion and buffer the impending decrease in the federal matching rate for newly eligible adults after 2016, may be of particular interest to states with a significant American Indian and Alaskan Native (AI/AN) population. Recent research by Manatt Health Solutions has examined the fiscal implications of Medicaid expansion. The first and second reports explored state budget savings and revenue gains associated with expansion, while the third specifically examined the impact of expansion on uncompensated care spending and related state budget implications, and the fourth investigated the potential impact of expansion on criminal justice costs. This issue brief, the fifth in this series prepared by Manatt Health Solutions, examines proposed rules that offer states additional federal funding for Medicaid services to American Indians and Alaskan Natives.