s01 e01: Introductory Concepts in Medicaid Finance

Resources:

•Legislative History of Medicaid:

https://www.macpac.gov/reference-materials/federal-legislative-milestones-in-medicaid-and-chip/

•Enrollment of Children over time:

https://www.macpac.gov/publication/medicaid-beneficiaries-persons-served-by-eligibility-group/

•You can also find trends for official Medicaid enrollment at:

https://www.statista.com/statistics/245347/total-medicaid-enrollment-since-1966/

s01 e02: Understanding Federal Financial Participation

Resources:

•FMAP Rates in Federal Register:

https://www.federalregister.gov/documents/2022/12/05/2022-26390/federal-financial-participation-in-state-assistance-expenditures-federal-matching-shares-for

•Kaiser Family Foundation State FMAP Rate Visualizer:

https://www.kff.org/medicaid/state-indicator/federal-matching-rate-and-multiplier/?currentTimeframe=0&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%22%7D

s01 e03: Fee-for-Service Payments

Resources:

•Description of Fee-for-Service payments per MACPAC:

https://www.macpac.gov/medicaid-101/provider-payment-and-delivery-systems/ 

•Brief on Impact on Access of Changes on Fee for Service Payment from the NBER:

https://www.nber.org/bh-20193/increased-medicaid-reimbursement-rates-expand-access-care#:~:text=Increased%20Medicaid%20Reimbursement%20Rates%20Expand%20Access%20to%20Care,-Share&text=Each%20%2410%20increase%20in%20Medicaid,in%20the%20past%20two%20weeks.

s01 e04: Cost Reimbursement Payments

Resources:

•Cost reimbursement principles in the Code of Federal Regulations

https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-413

•Brief history and overview of the cost reimbursement methodology

https://oig.hhs.gov/oei/reports/oei-09-00-00200.pdf

s01 e05: Capitation Payments

Resources:

•Capitation defined and regulated in the Code of Federal Regulations

https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-C/part-438/subpart-A/section-438.2#p-438.2(Capitation%20payment)

•Overview and current state of capitation, per the Kaiser Family Foundation

https://www.kff.org/medicaid/issue-brief/10-things-to-know-about-medicaid-managed-care/