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Fitch Predicts State Budget Imbalances Due to Medicaid Spending
States that are unable to accelerate their efforts to slow Medicaid spending will face long-term budget imbalances, according to a new report from Fitch Ratings.
States that are unable to accelerate their efforts to slow Medicaid spending will face long-term budget imbalances, according to a new report from Fitch Ratings.
CMS has predicted that state and local Medicaid spending growth will average 6.3% annually from 2004 to 2014, partially due to a downshift in federal funding for Medicaid expansion beginning in 2016. This spending growth will still remain below historical trends—from 1990 to 2007 the annual growth averaged 9.3%.
However, despite this slowed growth, Fitch expects it will still outpace revenue growth, forcing states to make challenging budgetary decisions.
“Federal coverage for newly eligible individuals in expansion states will begin a multi-year ramp-down in October 2016 from the current 100% to 90% in federal fiscal 2020 and thereafter. States will need to backfill the federal declines,” according to a press release from Fitch.
AI in Health Care: Balancing Governance, Innovation, and Trust
September 2nd 2025In this conversation with Reuben Daniel, associate vice president of artificial intelligence at UPMC Health Plan, we dive into how UPMC Health Plan builds trust with providers and members, discuss challenges of scaling AI effectively, and hear about concrete examples of AI's positive impact.
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Infertility Coverage Boosts ART Use and Pregnancy Success: Richard A. Brook, MS, MBA
August 26th 2025In this episode, Richard A. Brook, MS, MBA, discusses his study showing that infertility treatment coverage increases assisted reproductive technology (ART) use and improves pregnancy outcomes.
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