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MACPAC Discusses Draft Chapters in March Report to Congress

January 27, 2012—At its Jan. 19 meeting, the Medicaid and CHIP (Children’s Health Insurance Program) Payment and Access Commission (MACPAC) discussed the draft chapters in its upcoming March report to Congress. The commission will focus much of its report on disabled enrollees in the Medicaid program, along with sections covering access to care for children, Medicaid oversight efforts, financing, and a chapter on relevant Medicaid statistics. 

The MACPAC staff presented an overview of disabled Medicaid enrollees, most of whom are not dual-eligible and account for the largest portion of Medicaid spending. Typically, Medicaid-only disabled enrollees, as compared to dual-eligibles, are less likely to use institutional long-term care services and report better health outcomes overall. The commission specifically discussed the need for quality measurement for this population and plans to devote sections of the March report to effective quality measures and quality initiatives being implemented by the states.

The commission also spent a substantial amount of time discussing state and federal Medicaid financing, particularly the effects of healthcare-related taxes, intergovernmental transfers (IGTs), certified public expenditures (CPEs), and general state revenues. The commission expressed concerns with the possibility that states could exhaust CHIP funds in the near future. The March report will address recommendations for future funding.

The next meeting is scheduled for Feb. 16. The commission will vote on recommendations for the March report at that time.


Scott Wetzel, M.P.P.
Lead, Quality Reporting
Telephone: 202-828-0495


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