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Medicaid - Baseline Projections [i] (March 9, 2015)

handle is hein.congrec/cbo2082 and id is 1 raw text is: Detail of Spending and Enrollment for Medicaid-CBO's March 2015 Baseline (By fiscal year) Benefits Acute care Fee-for-service Managed care Medicare premiums Long-term care Subtotal Disproportionate Share Hospital Vaccines for Children Administration 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 Federal Medicaid Payments (Billions of dollars)a 86 105 114 120 126 131 138 144 151 158 165 172 102 123 133 143 152 160 169 180 191 203 216 228 8 8 9 9 10 10 11 12 13 14 15 16 74 77 80 83 85 89 92 96 100 104 108 113 270 312 335 354 373 390 410 431 454 478 503 529 7 7 5 5 19 21 8 8 8 8 5 6 6 7 22 23 24 26 301 343 367 386 404 423 445 468 493 519 547 576 Benefits Acute care Fee-for-service Managed care Medicare premiums Long-term care Subtotal Disproportionate Share Hospital Vaccines for Children Administration Percentage Change in Federal Medicaid Payments 22% 9% 5% 5% 4% 5% 5% 5% 5% 4% 4% 20% 8% 7% 6% 6% 5% 6% 6% 6% 6% 6% 1% 12% 7% 3% 6% 7% 7% 8% 8% 8% 8% 3% 3% 4% 3% 4% 4% 4% 4% 4% 4% 5% 15% 7% 6% 5% 5% 5% 5% 5% 5% 5% 5% 1% 3% -9% -25% 4% 4% 3% 2% 4% 7% 14% 1% 3% 9% 8% 9% 7% 7% 7% 7% 7% 4% 5% 2% 5% 5% 6% 6% 6% 6% 6% 6% 6% 14% 7% 5% 5% 5% 5% 5% 5% 5% 5% 5% Federal Benefit Payments by Eligibility Category (Outlays in billions of dollars) Aged Blind and disabled Children Adults 46 50 52 55 56 58 61 64 68 72 76 80 104 114 120 125 130 135 141 148 155 163 171 180 57 62 66 72 78 81 84 89 94 99 105 111 63 86 97 102 109 115 123 130 137 144 152 158 270 312 335 354 373 390 410 431 454 478 503 529 Average Monthly Enrollment by Eligibility Category (Millions of people)b Aged Blind and disabled Children Adults Total Memorandum: Total Ever Enrolled Aged Blind and disabled Children Adults 5 5 9 9 31 32 19 21 5 5 6 6 6 6 9 9 9 9 9 9 34 34 34 34 34 35 23 24 24 25 25 25 63 66 67 70 71 72 73 74 74 75 80 83 85 89 91 92 93 94 95 76 77 96 97 98 Average Federal Spending on Benefit Payments per Enrollee' $9,480 $10,080 $10,390 $10,620 $10,630 $10,800 $10,960 $11,170 $11,410 $11,640 $11,870 $12,120 $12,120 $13,230 $13,840 $14,310 $14,780 $15,170 $15,640 $16,190 $16,780 $17,360 $17,970 $18,610 $1,860 $2,010 $2,140 $2,220 $2,350 $2,440 $2,520 $2,640 $2,770 $2,900 $3,040 $3,180 $3,460 $4,120 $4,440 $4,530 $4,740 $4,910 $5,100 $5,340 $5,610 $5,900 $6,190 $6,460 a. On average in FY 2013 and prior years, federal Medicaid payments represent approximately 57 percent of total Medicaid payments. The Affordable Care Act, which expanded Medicaid coverage starting in 2014, provides enhanced federal matching rates for certain populations, leading to an average federal share for Medicaid ranging between 62 percent and 64 percent, depending on the year. b. These figures represent the number of beneficiaries, with full and partial benefits, who are enrolled on an average monthly basis. The total number of individuals enrolled in Medicaid at any point during the fiscal year are shown in the memorandum line. CBO previously reported the number of people projected to enroll in Medicaid at any time during the year by eligibility category, but will report the number of average monthly enrollees by category going forward. c. These figures are based on the annual cost of enrollees who receive any Medicaid benefit including those who receive only partial Medicaid benefits, such as family planning services or assistance with Medicare cost sharing and premiums. For prior years, CBO reported the average per enrollee spending only for those that receive full Medicaid benefits.

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