FROM THE FOUNDATION

Redefining the Safety Net

Should California establish a Basic Health Program for certain low-income residents? CHCF's Marian Mulkey captures a recent policy conversation in a Health Affairs blog.

Accountable Care in Action

A new post on the Health Affairs blog details how CalPERS kept costs down in Sacramento through a "virtual" ACO with insurers and providers.

Career Opportunity: Senior Program Officer

This position will play a major role in furthering the goals and objectives of the foundation's Better Chronic Disease Care program.

Medi-Cal

Thursday, February 02, 2012

State Medicaid Leaders Worried About New Tax on Premium Revenue

A new tax on health insurers' premium revenue under the federal health reform law has drawn concern from many state Medicaid directors, Kaiser Health News/McClatchy reports.

About the Tax

The overhaul requires insurers -- including Medicaid managed care plans, which contract with states to run their Medicaid programs -- to pay the fee

As a result, any additional cost to such managed care plans will be passed on to Medicaid programs, which are funded by state and federal governments.

According to a Milliman report released Tuesday, the tax will cost Medicaid programs between $36.5 billion and $41.9 billion over a decade, at least $13 billion of which will be paid by states.

Concerns From State Medicaid Directors

Matt Salo, executive director of the National Association of Medicaid Directors, predicted that states will struggle to find ways to cover the extra cost while also seeking ways to scale back Medicaid spending.

Tennessee Medicaid Director Darin Gordon said he has brought the issue to the attention of CMS officials and hopes the administration will exempt Medicaid managed care plans from the tax (Galewitz, Kaiser Health News/McClatchy, 2/1).



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