Passing the Buck on Medicaid
How the States Pledge and the Feds Pay
Michael S. Greve, Robert B. Helms
August 05, 2003
  • Print
  • Download

Rapidly growing Medicaid expenditures, which constitute over 20 percent of state budgets, are now an urgent action item for state legislatures. Many states are considering cutbacks and new ways to control cost. All are demanding increased federal funding. What are the causes of this latest Medicaid crisis? Are there forces beyond the states' control, such as rising healthcare costs, increasing poverty, and federal mandates? Or have the states brought this crisis on themselves? Michael S. Greve provides his answers to these questions based on a study of differences in state Medicaid expenditures in good and bad economic times.

Following lunch, Nelson Sabatini, Maryland's secretary of health and mental hygiene, will discuss the Medicaid crisis in Maryland.
About the Author

 

Michael S.
Greve
Show More | See Full Profile

 

Robert B.
Helms
  • Robert B. Helms has served as a member of the Medicaid Commission as well as assistant secretary for planning and evaluation and deputy assistant secretary for health policy at the U.S. Department of Health and Human Services (HHS). An economist by training, he has written and lectured extensively on health policy and health economics, including the history of Medicare, the tax treatment of health insurance, and compared international health systems. He currently participates in the Health Policy Consensus Group, an informal task force that is developing consumer-driven health reforms. He is the author or editor of several AEI books on health policy, including Medicare in the Twenty-First Century: Seeking Fair and Efficient Reform and Competitive Strategies in the Pharmaceutical Industry.
  • Phone: 2028625877
    Email: rhelms@aei.org

  • Assistant Info

    Name: Catherine Griffin
    Phone: 2028625920
    Email: catherine.griffin@aei.org
Show More | See Full Profile
AEI on Facebook