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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
FY18 HWM$17,449,451,732$17,449,451,732
FY17$16,942,417,510$16,558,745,748
FY16$17,140,632,121$16,453,913,788
FY15$15,725,954,808$14,994,958,704
FY14$14,400,317,089$13,632,949,740
FY13$13,443,338,990$12,532,049,647
FY12$13,257,835,994$12,155,735,125
FY11$13,691,055,285$12,193,712,983
FY10$12,460,674,828$10,882,022,872
FY09$11,713,768,373$10,130,036,655
FY08$11,436,649,709$9,753,784,977
FY07$11,503,629,100$9,459,969,440
FY06$10,581,473,155$8,481,219,121
FY05$12,010,208,613$9,275,962,589
FY04$10,369,330,195$7,775,042,483
FY03$9,233,414,265$6,773,900,233
FY02$8,975,164,716$6,442,512,774
FY01$7,748,217,890$5,465,019,237
  • See Changes in Funding
Between and
Funding for MassHealth (Medicaid) & Health Reform
48.1%

comparisons adjusted for inflation (CPI)

Adjusted for inflation (CPI) NOT adjusted
FY18 HWM$17,449,451,732$17,449,451,732
FY18 Gov$17,542,192,477$17,542,192,477
FY17$16,942,417,510$16,558,745,748

funding levels adjusted for inflation (CPI)

  • Active Line Items
  • All Line Items
FY16FY17FY18 GovFY18 HWM
Health Policy Commission$0$8,676,280$8,479,009$8,479,009
Delivery System Transformation Initiatives Trust Fund$197,035,595$200,799,227$189,149,334$189,149,333
Medical Assistance Trust Fund$1,070,383,602$753,211,168$452,400,000$452,400,000
Health Information Technology Trust Fund$8,493,556$9,058,405$13,853,272$8,853,272
Community Hospital Reinvestment Trust Fund$0$0$3,000,000$3,000,000
Behavioral Health Pilot$260,434$0$0$0
Behavioral Health Integration in Patient Centered Medical Homes$260,434$0$0$0
Edward Kennedy Community Health Center$104,174$0$0$0
Exec. Office Health and Human Services$96,090,187$102,292,567$102,602,733$102,502,734
MassHealth Auditing and Utilization Reviews$4,470,829$0$0$0
MassHealth Recoveries$234,390,570$230,213,326$225,000,000$225,000,000
EOHHS Contingency Contracts Retained Revenue$52,086,793$54,995,406$60,000,000$60,000,000
State Plan Amendment Support$0$51,159$0$0
MassHealth CommonHealth$124,482,452$158,629,358$164,396,477$164,396,477
MassHealth Managed Care$6,180,660,140$5,544,072,226$5,553,251,863$5,553,251,863
MassHealth Senior Care$3,100,570,890$3,591,088,565$3,752,610,443$3,760,610,443
MassHealth Nursing Home Supplemental Rates$315,541,794$353,096,084$345,100,000$362,900,000
MassHealth Fee-for-Service$2,756,982,300$2,406,331,328$2,751,697,224$2,663,848,930
MassHealth Breast and Cervical Cancer Treatment$6,262,352$6,335,269$6,191,803$6,191,803
MassHealth Family Assistance$264,360,409$341,031,032$526,812,502$526,812,502
Small Business Employee Premium Assistance$33,774,088$34,830,785$34,042,020$34,042,020
ACA Expansion Populations$1,783,566,922$2,197,166,595$2,256,942,984$2,239,691,278
Children's Behavioral Health Initiative$230,534,115$241,854,123$247,337,564$247,337,564
Children's Medical Security Plan$13,765,685$17,875,923$12,471,111$12,471,111
MassHealth HIV Plan$25,916,671$28,008,694$27,374,419$27,374,419
Medicare Part D Phased Down Contribution$348,353,121$380,944,266$441,754,986$441,754,986
Hutchinson Settlement$51,474,253$73,306,464$83,182,921$83,182,921
MassHealth Operations$2,324,630$0$0$0
Health Care System Reform$988,712$0$0$0
Health and Human Services IT Costs$126,405,162$119,482,536$133,564,037$125,223,292
Center for Health Information and Analysis$28,874,805$28,271,635$27,631,406$27,631,406
All Payer Claims Database Retained Revenue$3,565,395$511,585$1,000,000$1,000,000
Health Care Access Bureau Assessment$1,145,909$1,087,103$1,062,485$1,062,485
Prescription Advantage$19,447,301$18,183,703$17,179,054$17,179,054
Commonwealth Care Trust Tax Transfer$58,058,842$41,012,697$104,104,830$104,104,830
FY16FY17FY18 GovFY18 HWM
Health Policy Commission$0$8,676,280$8,479,009$8,479,009
Uncompensated Care Trust Fund$0$0$0$0
Delivery System Transformation Initiatives Trust Fund$197,035,595$200,799,227$189,149,334$189,149,333
Medical Assistance Trust Fund$1,070,383,602$753,211,168$452,400,000$452,400,000
Health Information Technology Trust Fund$8,493,556$9,058,405$13,853,272$8,853,272
Community Hospital Reinvestment Trust Fund$0$0$3,000,000$3,000,000
Ambulatory Payment Group Trust$0$0$0$0
Essential Community Provider Trust Fund$0$0$0$0
Medical Security Trust Fund$0$0$0$0
Commonwealth Care Trust Fund$0$0$0$0
Health Care Workforce Transformation Trust$0$0$0$0
Commonwealth Health Insurance Connector$0$0$0$0
Dept. of Medical Assistance Operations Reserve$0$0$0$0
Analysis of DMA IT Systems$0$0$0$0
Health Care Cost Containment Reserve$0$0$0$0
Behavioral Health Integration in Patient Centered Medical Homes$0$0$0$0
Behavioral Health Pilot$260,434$0$0$0
Health Care Reform Implementation Reserve$0$0$0$0
Health Care Cost Containment Reserve$0$0$0$0
Health Care Cost Containment Reserve$0$0$0$0
Hale Hospital Reserve$0$0$0$0
Behavioral Health Integration in Patient Centered Medical Homes$260,434$0$0$0
Rosie D. Reserve$0$0$0$0
Edward Kennedy Community Health Center$104,174$0$0$0
Managed Care Oversight Board$0$0$0$0
Dental Loan Forgiveness$0$0$0$0
Primary Care Workforce$0$0$0$0
Exec. Office Health and Human Services$96,090,187$102,292,567$102,602,733$102,502,734
MassHealth Auditing and Utilization Reviews$4,470,829$0$0$0
Pediatric Disproportionate Share Hospital (DSH) Payments$0$0$0$0
Prior Year Rate Settlements$0$0$0$0
Health Care Decision Support System$0$0$0$0
DMA Administration Retained Revenue$0$0$0$0
MassHealth Admin. Expenses$0$0$0$0
MassHealth Field Auditing Taskforce$0$0$0$0
MassHealth Contracted Services$0$0$0$0
MassHealth Recoveries$234,390,570$230,213,326$225,000,000$225,000,000
EOHHS Contingency Contracts Retained Revenue$52,086,793$54,995,406$60,000,000$60,000,000
MassHealth Administrative Services$0$0$0$0
State Plan Amendment Support$0$51,159$0$0
MassHealth Enrollment Outreach Grants$0$0$0$0
Health Care Quality and Cost Council$0$0$0$0
Health Information Analysis Retained Revenue$0$0$0$0
MassHealth CommonHealth$124,482,452$158,629,358$164,396,477$164,396,477
Senior Pharmacy Assistance$0$0$0$0
MassHealth Managed Care$6,180,660,140$5,544,072,226$5,553,251,863$5,553,251,863
MassHealth Managed Care Enrollment Incentives$0$0$0$0
MassHealth Senior Care$3,100,570,890$3,591,088,565$3,752,610,443$3,760,610,443
MassHealth Senior Care Options$0$0$0$0
MassHealth Home Health Worker Recruitment$0$0$0$0
MassHealth Nursing Home Supplemental Rates$315,541,794$353,096,084$345,100,000$362,900,000
Community First Initiative$0$0$0$0
MassHealth Fee-for-Service$2,756,982,300$2,406,331,328$2,751,697,224$2,663,848,930
MassHealth Standard Coverage$0$0$0$0
MassHealth Basic Program Expansion$0$0$0$0
MassHealth Basic Coverage$0$0$0$0
MassHealth Breast and Cervical Cancer Treatment$6,262,352$6,335,269$6,191,803$6,191,803
MassHealth Family Assistance$264,360,409$341,031,032$526,812,502$526,812,502
Small Business Employee Premium Assistance$33,774,088$34,830,785$34,042,020$34,042,020
MassHealth Premium Assist. and Insur. Partnership$0$0$0$0
MassHealth Insurance Partnership for Employers$0$0$0$0
Healthy Start$0$0$0$0
ACA Expansion Populations$1,783,566,922$2,197,166,595$2,256,942,984$2,239,691,278
Children's Behavioral Health Initiative$230,534,115$241,854,123$247,337,564$247,337,564
Children's Medical Security Plan$13,765,685$17,875,923$12,471,111$12,471,111
Nursing Home Certified Nurses' Aides Rate Add-on$0$0$0$0
MassHealth Acute Care Hospital Rate Increase$0$0$0$0
MassHealth Acute Care Hospital Rate Increase$0$0$0$0
MassHealth Financially Distressed Hospital Payments$0$0$0$0
MassHealth Distressed Non-Profit Provider Payments$0$0$0$0
MassHealth HIV Plan$25,916,671$28,008,694$27,374,419$27,374,419
MassHealth Inpatient Outlier Payments$0$0$0$0
MassHealth Essential$0$0$0$0
Medicare Part D Phased Down Contribution$348,353,121$380,944,266$441,754,986$441,754,986
Hutchinson Settlement$51,474,253$73,306,464$83,182,921$83,182,921
MassHealth Community Health Center Rates$0$0$0$0
Interim Catastrophic Pharmacy Assistance Program$0$0$0$0
Catastrophic Pharmacy Assistance Program$0$0$0$0
Pharmacy Expansion for Children$0$0$0$0
MassHealth Dental Rate Increase$0$0$0$0
MassHealth Operations$2,324,630$0$0$0
Health Care System Reform$988,712$0$0$0
Health and Human Services IT Costs$126,405,162$119,482,536$133,564,037$125,223,292
Center for Health Information and Analysis$28,874,805$28,271,635$27,631,406$27,631,406
All Payer Claims Database Retained Revenue$3,565,395$511,585$1,000,000$1,000,000
Nursing Home Certified Nurses' Aides Rate Audits$0$0$0$0
Grants to Community Health Centers$0$0$0$0
Grants to Non-profit Providers of Elder Care$0$0$0$0
Grants to Community Health Centers$0$0$0$0
Health Safety Net Claims Migration Revenue$0$0$0$0
Health Care Quality and Cost Council Revenue$0$0$0$0
Healthy Start Program$0$0$0$0
Children's Medical Security Plan$0$0$0$0
Health Care Access Bureau Assessment$1,145,909$1,087,103$1,062,485$1,062,485
Prescription Advantage$19,447,301$18,183,703$17,179,054$17,179,054
Prescription Advantage Co-Pay Subsidies$0$0$0$0
eHealth Institute Fund$0$0$0$0
Mass. Technology Park Corp.$0$0$0$0
Commonwealth Care Trust Tax Transfer$58,058,842$41,012,697$104,104,830$104,104,830