Brief States' Use of Medicaid Maximization Strategies to Tap Federal Revenues
Program Implications and Consequences
Teresa A. Coughlin, Stephen Zuckerman
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Medicaid provides states with a federal financial match for state dollars spent on health care services for low-income people. This report describes program expansions and revenue expansions states adapted to maximize federal Medicaid revenue. While the matching rate approach encouraged states to spend more on health care for low-income people than they would otherwise, it also provided incentives for states to find financial loopholes. Changes in Medicaid to address the financial integrity of Medicaid are addressed.
Research Areas Economic mobility and inequality Health and health care Taxes and budgets
Tags Fiscal policy Health care delivery and payment Health equity Medicaid and the Children’s Health Insurance Program  State and local tax issues
Policy Centers Health Policy Center