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This report provides a graphical summary of the Missouri Medicaid program. It is intended to provide background information of the policy issues being considered by the Missouri Medicaid Reform Commission. The report was compiled by a group of researchers from several centers at the University of Missouri-Columbia (see Acknowledgements). Medicaid at the national level is summarized first, and then the report describes Missouri Medicaid. The types of health care services, expenditure levels, and categories of participants are presented. Health care service types are summarized with a focus on overall expenditure levels. Participants are summarized into general enrollment groups: Children, Adults, Blind and Disabled, Elderly, and Other. The interrelationships among services, expenditures and participants are explored using current data and historical trends. County level maps display these patterns for the state. Estimates of the effect of recent changes to the Missouri Medicaid Program are provided. The report uses the most current summary information available and many FY2005 charts are included. However, for some graphics, it was necessary to use older data to achieve a consistent frame of reference. Some Medicaid service types, particularly managed care, are confounded because they include portions of other specific services, such as physician services that also are reported independently. Substantial Medicaid claims data containing additional information about the characteristics of participants, services, and expenditures are being made available for summarization and analyses. We anticipate extending the description of the Missouri Medicaid program with future analyses of these more detailed data. ; Includes bibliographical references

Congress modified the Medicaid program by restricting states' sources of funding, capping payments to certain hospitals, and altering the relationship between the states and the federal government. While the legislation puts to rest an ongoing dispute between the state and federal governments, it does not improve access to or quality of care nor address fundamental problems with the Medicaid program; it is simply another patch to the patch-work quilt called Medicaid.

The article focuses on state policy innovation among Medicaid programs. Budget constraints & a Republican Congress have led states to become more resourceful in the ways in which policies are implemented. This study examines states that have adopted managed care (ie, Medicaid) in an effort to reduce costs & broaden health care coverage. In many cases, states draw lessons from other states & adopt similar programs. The adoption of managed care for Medicaid recipients is also influenced by other factors indigenous to a state. The study relies on data derived from a pooled, cross-sectional time-series analysis using variables such as the number of uninsured, the fiscal health of a state, & the number of years that states have had HMOs. 3 Tables, 50 References. Adapted from the source document.

This report by the Legislative Audit Council reviews the Medicaid program in South Carolina. The Council found inadequate management of Medicaid, duplication of certification of nursing homes, alternatives to institutionalization needed, abuse of carryforward funds and the budget process, lack of an adequate management information system, and lack of investigation of fraud.

To help low-income households meet their medical needs and remain off welfare programs, many states provide a so-called Medically Needy program. Under this program, low-income women with dependent children who meet all criteria for categorically needy assistance, but who do not participate in AFDC, may qualify for Medicaid. In this study, I develop a model based on the economic theory of income-leisure tradeoff and use the data reported in the Survey of Income and Program Participation to analyze how an extended Medicaid program affects AFDC participation of low-income female household heads. The empirical findings indicate that the presence of the Medically Needy program is associated with a decrease in the likelihood of AFDC participation. This study also discusses the implications of extended Medicaid coverage as a policy alternative in reducing the likelihood of AFDC participation of low-income female-headed households.