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Inflation Adjustment
  • CPI: adjusts for changes in the cost of goods and services purchased by consumers
  • IPD: adjusts for changes in the cost of goods and services purchased by governments
  • Economic Growth: adjusts for changes in the size of the state economy (measured in terms of total personal income)
  • None: does not capture changes in the value of a dollar over time.

MassHealth (Medicaid) & Health Reform

funding levels adjusted for inflation (cpi)

  • Funding History
Adjusted for inflation (cpi) NOT adjusted
FY19$17,862,508,553$17,862,508,553
FY18$17,723,043,096$17,298,655,334
FY17$17,346,406,783$16,558,745,748
FY16$17,556,366,275$16,453,913,788
FY15$16,107,130,444$14,994,958,704
FY14$14,749,572,920$13,633,449,740
FY13$13,768,293,274$12,532,049,647
FY12$13,580,044,048$12,155,828,125
FY11$14,022,540,678$12,193,805,983
FY10$12,762,273,133$10,882,022,872
FY09$11,997,584,628$10,130,286,655
FY08$11,713,462,499$9,753,784,977
FY07$11,782,063,060$9,459,969,440
FY06$10,837,587,243$8,481,219,121
FY05$12,300,903,829$9,275,962,589
FY04$10,620,309,572$7,775,042,483
FY03$9,456,899,921$6,773,900,233
FY02$9,192,399,698$6,442,512,774
FY01$7,935,755,837$5,465,019,237
  • See Changes in Funding
Between and
Funding for MassHealth (Medicaid) & Health Reform
52.5%

comparisons adjusted for inflation (cpi)

Adjusted for inflation (cpi) NOT adjusted
FY19 GAA$17,592,489,412$17,592,489,412
FY19 Leg$17,592,489,412$17,592,489,412
FY19 Sen$17,487,195,359$17,487,195,359
FY19 SWM$17,481,636,914$17,481,636,914
FY19 Hou$17,584,430,967$17,584,430,967
FY19 HWM$17,576,430,967$17,576,430,967
FY19 Gov$17,367,536,546$17,367,536,546
FY18$17,723,043,096$17,298,655,334

funding levels adjusted for inflation (cpi)

  • Active Line Items
  • All Line Items
FY15FY16FY17FY18FY19
Health Policy Commission$0$0$8,883,164$8,123,531$9,319,931
Academic Detailing Program$0$0$0$0$150,000
Delivery System Transformation Initiatives Trust Fund$235,201,960$201,814,556$205,587,252$191,228,399$0
Medical Assistance Trust Fund$686,931,530$1,096,345,014$771,171,370$765,428,598$586,600,000
Health Information Technology Trust Fund$8,725,155$8,699,561$9,274,402$19,623,159$10,000,000
Safety Net Provider Trust Fund$0$0$0$0$167,640,000
Commonwealth Care Trust Fund$0$0$0$0$45,772,939
Health Care Cost Containment Reserve$73,599$0$0$0$0
Behavioral Health Pilot$0$266,751$0$0$0
Behavioral Health Integration in Patient Centered Medical Homes$0$266,751$0$0$0
Administrative Costs of Employer Medical Assistance Contribution$0$0$0$2,997,470$1,775,216
Edward Kennedy Community Health Center$0$106,700$0$102,453$200,000
Health Insurance Exchange Operations$0$0$0$15,367,995$15,000,000
Exec. Office Health and Human Services$93,906,600$98,420,788$104,731,717$105,201,479$104,535,714
MassHealth Auditing and Utilization Reviews$4,470,528$4,579,266$0$0$0
MassHealth Recoveries$241,688,185$240,075,551$235,702,727$230,519,923$225,000,000
EOHHS Contingency Contracts Retained Revenue$64,450,183$53,350,122$56,306,763$58,142,247$56,750,000
State Plan Amendment Support$423,223$0$52,378$51,227$50,000
MassHealth CommonHealth$119,357,361$127,501,688$162,411,850$168,429,614$170,898,671
MassHealth Managed Care$5,148,302,006$6,330,567,768$5,676,269,753$5,689,489,743$5,759,010,341
MassHealth Senior Care$3,434,194,819$3,175,773,088$3,676,717,506$0$0
MassHealth Senior Care$0$0$0$3,606,699,802$3,587,516,725
MassHealth Nursing Home Supplemental Rates$313,979,806$323,195,041$361,515,605$0$0
MassHealth Nursing Home Supplemental Rates$0$0$0$361,250,333$365,400,000
MassHealth Fee-for-Service$2,723,739,411$2,823,850,995$2,463,709,919$2,241,574,636$2,781,254,410
MassHealth Breast and Cervical Cancer Treatment$6,149,835$6,414,241$6,486,333$6,343,706$6,191,803
MassHealth Family Assistance$219,984,909$270,772,288$349,162,864$539,736,789$468,898,836
Small Business Employee Premium Assistance$33,167,262$34,593,255$35,661,320$34,877,173$34,042,020
ACA Expansion Populations$1,828,985,267$1,826,826,102$2,249,557,686$2,293,613,072$2,138,679,253
Children's Behavioral Health Initiative$222,752,392$236,125,560$247,621,096$253,405,494$256,757,691
Children's Medical Security Plan$14,194,272$14,099,562$18,302,171$12,393,753$12,096,978
MassHealth HIV Plan$25,451,020$26,545,261$28,676,556$28,045,995$27,483,527
Medicare Part D Phased Down Contribution$325,119,088$356,802,185$390,027,822$452,592,557$425,567,964
Hutchinson Settlement$36,863,356$52,722,725$75,054,445$73,490,048$100,019,725
MassHealth Operations$2,261,942$2,381,012$0$0$0
Health Care System Reform$932,402$1,012,692$0$0$0
Health and Human Services IT Costs$112,320,397$129,471,032$122,331,578$127,933,519$102,736,495
Center for Health Information and Analysis$31,653,518$29,575,143$28,945,768$27,804,434$27,724,170
All Payer Claims Database Retained Revenue$4,296,679$3,651,871$523,784$896,466$750,000
Health Care Access Bureau Assessment$1,181,587$1,173,703$1,113,025$1,088,551$1,060,793
Community Choices$0$0$0$228,900,136$228,150,762
Prescription Advantage$19,810,029$19,918,982$18,617,291$17,344,374$16,939,784
Substance Abuse Disorder Reinvestment Trust$0$0$0$48,153,051$0
Commonwealth Care Trust Tax Transfer$146,562,123$59,467,019$41,990,639$112,193,368$128,534,805
FY15FY16FY17FY18FY19
Health Policy Commission$0$0$8,883,164$8,123,531$9,319,931
Academic Detailing Program$0$0$0$0$150,000
Uncompensated Care Trust Fund$0$0$0$0$0
Delivery System Transformation Initiatives Trust Fund$235,201,960$201,814,556$205,587,252$191,228,399$0
Medical Assistance Trust Fund$686,931,530$1,096,345,014$771,171,370$765,428,598$586,600,000
Health Information Technology Trust Fund$8,725,155$8,699,561$9,274,402$19,623,159$10,000,000
Safety Net Provider Trust Fund$0$0$0$0$167,640,000
Community Hospital Reinvestment Trust Fund$0$0$0$0$0
Ambulatory Payment Group Trust$0$0$0$0$0
Essential Community Provider Trust Fund$0$0$0$0$0
Medical Security Trust Fund$0$0$0$0$0
Commonwealth Care Trust Fund$0$0$0$0$45,772,939
Health Care Workforce Transformation Trust$0$0$0$0$0
Commonwealth Health Insurance Connector$0$0$0$0$0
Dept. of Medical Assistance Operations Reserve$0$0$0$0$0
Analysis of DMA IT Systems$0$0$0$0$0
Health Care Cost Containment Reserve$73,599$0$0$0$0
Behavioral Health Integration in Patient Centered Medical Homes$0$0$0$0$0
Behavioral Health Pilot$0$266,751$0$0$0
Health Care Reform Implementation Reserve$0$0$0$0$0
Health Care Cost Containment Reserve$0$0$0$0$0
Health Care Cost Containment Reserve$0$0$0$0$0
Hale Hospital Reserve$0$0$0$0$0
Behavioral Health Integration in Patient Centered Medical Homes$0$266,751$0$0$0
Administrative Costs of Employer Medical Assistance Contribution$0$0$0$2,997,470$1,775,216
Rosie D. Reserve$0$0$0$0$0
Edward Kennedy Community Health Center$0$106,700$0$102,453$200,000
Managed Care Oversight Board$0$0$0$0$0
Health Insurance Exchange Operations$0$0$0$15,367,995$15,000,000
Dental Loan Forgiveness$0$0$0$0$0
Primary Care Workforce$0$0$0$0$0
Exec. Office Health and Human Services$93,906,600$98,420,788$104,731,717$105,201,479$104,535,714
MassHealth Auditing and Utilization Reviews$4,470,528$4,579,266$0$0$0
Pediatric Disproportionate Share Hospital (DSH) Payments$0$0$0$0$0
Prior Year Rate Settlements$0$0$0$0$0
Health Care Decision Support System$0$0$0$0$0
DMA Administration Retained Revenue$0$0$0$0$0
MassHealth Admin. Expenses$0$0$0$0$0
MassHealth Field Auditing Taskforce$0$0$0$0$0
MassHealth Contracted Services$0$0$0$0$0
MassHealth Recoveries$241,688,185$240,075,551$235,702,727$230,519,923$225,000,000
EOHHS Contingency Contracts Retained Revenue$64,450,183$53,350,122$56,306,763$58,142,247$56,750,000
MassHealth Administrative Services$0$0$0$0$0
State Plan Amendment Support$423,223$0$52,378$51,227$50,000
MassHealth Enrollment Outreach Grants$0$0$0$0$0
Health Care Quality and Cost Council$0$0$0$0$0
Health Information Analysis Retained Revenue$0$0$0$0$0
MassHealth CommonHealth$119,357,361$127,501,688$162,411,850$168,429,614$170,898,671
Senior Pharmacy Assistance$0$0$0$0$0
MassHealth Managed Care$5,148,302,006$6,330,567,768$5,676,269,753$5,689,489,743$5,759,010,341
MassHealth Managed Care Enrollment Incentives$0$0$0$0$0
MassHealth Senior Care$3,434,194,819$3,175,773,088$3,676,717,506$0$0
MassHealth Senior Care$0$0$0$3,606,699,802$3,587,516,725
MassHealth Senior Care Options$0$0$0$0$0
MassHealth Home Health Worker Recruitment$0$0$0$0$0
MassHealth Nursing Home Supplemental Rates$313,979,806$323,195,041$361,515,605$0$0
MassHealth Nursing Home Supplemental Rates$0$0$0$361,250,333$365,400,000
Community First Initiative$0$0$0$0$0
MassHealth Fee-for-Service$2,723,739,411$2,823,850,995$2,463,709,919$2,241,574,636$2,781,254,410
MassHealth Standard Coverage$0$0$0$0$0
MassHealth Basic Program Expansion$0$0$0$0$0
MassHealth Basic Coverage$0$0$0$0$0
MassHealth Breast and Cervical Cancer Treatment$6,149,835$6,414,241$6,486,333$6,343,706$6,191,803
MassHealth Family Assistance$219,984,909$270,772,288$349,162,864$539,736,789$468,898,836
Small Business Employee Premium Assistance$33,167,262$34,593,255$35,661,320$34,877,173$34,042,020
MassHealth Premium Assist. and Insur. Partnership$0$0$0$0$0
MassHealth Insurance Partnership for Employers$0$0$0$0$0
Healthy Start$0$0$0$0$0
ACA Expansion Populations$1,828,985,267$1,826,826,102$2,249,557,686$2,293,613,072$2,138,679,253
Children's Behavioral Health Initiative$222,752,392$236,125,560$247,621,096$253,405,494$256,757,691
Children's Medical Security Plan$14,194,272$14,099,562$18,302,171$12,393,753$12,096,978
Nursing Home Certified Nurses' Aides Rate Add-on$0$0$0$0$0
MassHealth Acute Care Hospital Rate Increase$0$0$0$0$0
MassHealth Acute Care Hospital Rate Increase$0$0$0$0$0
MassHealth Financially Distressed Hospital Payments$0$0$0$0$0
MassHealth Distressed Non-Profit Provider Payments$0$0$0$0$0
MassHealth HIV Plan$25,451,020$26,545,261$28,676,556$28,045,995$27,483,527
MassHealth Inpatient Outlier Payments$0$0$0$0$0
MassHealth Essential$0$0$0$0$0
Medicare Part D Phased Down Contribution$325,119,088$356,802,185$390,027,822$452,592,557$425,567,964
Hutchinson Settlement$36,863,356$52,722,725$75,054,445$73,490,048$100,019,725
MassHealth Community Health Center Rates$0$0$0$0$0
Interim Catastrophic Pharmacy Assistance Program$0$0$0$0$0
Catastrophic Pharmacy Assistance Program$0$0$0$0$0
Pharmacy Expansion for Children$0$0$0$0$0
MassHealth Dental Rate Increase$0$0$0$0$0
MassHealth Operations$2,261,942$2,381,012$0$0$0
Health Care System Reform$932,402$1,012,692$0$0$0
Health and Human Services IT Costs$112,320,397$129,471,032$122,331,578$127,933,519$102,736,495
Center for Health Information and Analysis$31,653,518$29,575,143$28,945,768$27,804,434$27,724,170
All Payer Claims Database Retained Revenue$4,296,679$3,651,871$523,784$896,466$750,000
Nursing Home Certified Nurses' Aides Rate Audits$0$0$0$0$0
Grants to Community Health Centers$0$0$0$0$0
Grants to Non-profit Providers of Elder Care$0$0$0$0$0
Grants to Community Health Centers$0$0$0$0$0
Health Safety Net Claims Migration Revenue$0$0$0$0$0
Health Care Quality and Cost Council Revenue$0$0$0$0$0
Academic Detailing Program$0$0$0$0$0
Healthy Start Program$0$0$0$0$0
Children's Medical Security Plan$0$0$0$0$0
Health Care Access Bureau Assessment$1,181,587$1,173,703$1,113,025$1,088,551$1,060,793
Community Choices$0$0$0$228,900,136$228,150,762
Prescription Advantage$19,810,029$19,918,982$18,617,291$17,344,374$16,939,784
Prescription Advantage Co-Pay Subsidies$0$0$0$0$0
eHealth Institute Fund$0$0$0$0$0
Mass. Technology Park Corp.$0$0$0$0$0
Substance Abuse Disorder Reinvestment Trust$0$0$0$48,153,051$0
Commonwealth Care Trust Tax Transfer$146,562,123$59,467,019$41,990,639$112,193,368$128,534,805