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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
FY21 Gov$17,937,119,638$17,937,119,638
FY20$18,489,447,414$18,051,337,335
FY19$18,400,429,306$17,594,509,730
FY18$18,227,440,084$17,075,236,334
FY17$18,073,280,904$16,558,745,748
FY16$18,291,663,068$16,453,913,788
FY15$16,782,021,513$14,994,958,704
FY14$15,366,498,964$13,633,449,740
FY13$14,344,871,534$12,532,049,647
FY12$14,148,738,949$12,155,828,125
FY11$14,609,766,121$12,193,805,983
FY10$13,296,722,036$10,882,022,872
FY09$12,500,010,480$10,130,286,655
FY08$12,203,990,097$9,753,784,977
FY07$12,275,463,461$9,459,969,440
FY06$11,291,435,594$8,481,219,121
FY05$12,816,031,854$9,275,962,589
FY04$11,065,058,931$7,775,042,483
FY03$9,852,928,884$6,773,900,233
FY02$9,577,352,119$6,442,512,774
FY01$8,268,083,469$5,465,019,237
  • See Changes in Funding
Between and
Funding for MassHealth (Medicaid) & Health Reform
51.5%

comparisons adjusted for inflation (CPI)

Adjusted for inflation (CPI) NOT adjusted
FY21 Gov$17,937,119,638$17,937,119,638
FY20$18,489,447,414$18,051,337,335

funding levels adjusted for inflation (CPI)

  • Active Line Items
  • All Line Items
FY18FY19FY20FY21 Gov
Health Policy Commission$8,464,043$9,171,639$10,638,769$10,001,120
Academic Detailing Program$0$41,832$112,670$0
Delivery System Transformation Initiatives Trust Fund$199,244,067$0$0$0
Medical Assistance Trust Fund$797,512,855$613,469,315$518,060,517$430,710,000
Health Information Technology Trust Fund$20,445,698$27,664,873$10,242,702$14,177,900
Safety Net Provider Trust Fund$0$175,318,779$173,204,096$167,370,000
Commonwealth Care Trust Fund$0$3,969,711$0$82,068,536
Administrative Costs of Employer Medical Assistance Contribution$3,123,114$1,072,176$768,203$0
Edward Kennedy Community Health Center$106,748$209,161$204,854$0
Health Insurance Exchange Operations$16,012,171$7,022,081$23,850,623$15,000,000
Exec. Office Health and Human Services$109,611,180$109,323,991$112,420,762$113,534,922
Nursing Home Sustainability Task Force$0$0$204,854$0
MassHealth Recoveries$240,182,563$235,306,164$230,460,801$225,000,000
EOHHS Contingency Contracts Retained Revenue$60,579,380$59,349,444$58,127,335$60,000,000
State Plan Amendment Support$53,374$52,290$0$0
MassHealth CommonHealth$175,489,632$178,726,714$161,437,416$178,358,274
MassHealth Managed Care$5,927,974,502$6,022,802,811$5,738,436,547$5,500,755,355
MassHealth Senior Care$3,757,880,834$3,751,843,552$3,837,411,712$3,665,313,653
MassHealth Nursing Home Supplemental Rates$376,392,762$382,137,211$435,579,331$395,400,000
MassHealth Fee-for-Service$2,335,534,096$2,908,650,252$3,248,153,524$2,886,113,859
MassHealth Breast and Cervical Cancer Treatment$6,609,614$6,475,420$8,390,620$12,191,803
MassHealth Family Assistance$562,360,785$490,376,829$343,508,803$366,429,906
Small Business Employee Premium Assistance$36,339,109$35,601,321$34,868,228$34,042,020
ACA Expansion Populations$2,389,753,813$2,236,641,828$2,391,296,804$2,491,506,382
Children's Behavioral Health Initiative$264,027,422$268,518,522$268,110,610$268,301,633
Children's Medical Security Plan$12,913,259$12,651,082$15,056,772$15,435,000
MassHealth HIV Plan$29,221,592$28,742,415$28,292,327$27,621,936
Medicare Part D Phased Down Contribution$471,563,754$445,061,179$433,042,051$439,944,274
Hutchinson Settlement$76,570,509$104,601,146$131,147,044$265,717,683
Health and Human Services IT Costs$133,296,072$107,442,358$112,075,326$142,483,342
Center for Health Information and Analysis$28,969,905$28,994,080$28,097,172$31,070,586
All Payer Claims Database Retained Revenue$934,043$784,354$409,708$250,000
Health Care Access Bureau Assessment$1,134,179$1,109,383$1,086,539$1,060,793
Prescription Advantage$18,071,394$17,715,714$15,467,825$14,952,309
Substance Abuse Disorder Reinvestment Trust$50,171,469$0$0$0
Commonwealth Care Trust Tax Transfer$116,896,147$129,581,682$119,282,868$82,308,352
FY18FY19FY20FY21 Gov
Health Policy Commission$8,464,043$9,171,639$10,638,769$10,001,120
Academic Detailing Program$0$41,832$112,670$0
Uncompensated Care Trust Fund$0$0$0$0
Delivery System Transformation Initiatives Trust Fund$199,244,067$0$0$0
Medical Assistance Trust Fund$797,512,855$613,469,315$518,060,517$430,710,000
Health Information Technology Trust Fund$20,445,698$27,664,873$10,242,702$14,177,900
Safety Net Provider Trust Fund$0$175,318,779$173,204,096$167,370,000
Community Hospital Reinvestment Trust Fund$0$0$0$0
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$3,969,711$0$82,068,536
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$0$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$0$0$0$0
Administrative Costs of Employer Medical Assistance Contribution$3,123,114$1,072,176$768,203$0
Rosie D. Reserve$0$0$0$0
Edward Kennedy Community Health Center$106,748$209,161$204,854$0
Managed Care Oversight Board$0$0$0$0
Health Insurance Exchange Operations$16,012,171$7,022,081$23,850,623$15,000,000
Dental Loan Forgiveness$0$0$0$0
Primary Care Workforce$0$0$0$0
Exec. Office Health and Human Services$109,611,180$109,323,991$112,420,762$113,534,922
MassHealth Auditing and Utilization Reviews$0$0$0$0
Nursing Home Sustainability Task Force$0$0$204,854$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$240,182,563$235,306,164$230,460,801$225,000,000
EOHHS Contingency Contracts Retained Revenue$60,579,380$59,349,444$58,127,335$60,000,000
MassHealth Administrative Services$0$0$0$0
State Plan Amendment Support$53,374$52,290$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$175,489,632$178,726,714$161,437,416$178,358,274
Senior Pharmacy Assistance$0$0$0$0
MassHealth Managed Care$5,927,974,502$6,022,802,811$5,738,436,547$5,500,755,355
MassHealth Managed Care Enrollment Incentives$0$0$0$0
MassHealth Senior Care$0$0$0$0
MassHealth Senior Care$3,757,880,834$3,751,843,552$3,837,411,712$3,665,313,653
MassHealth Senior Care Options$0$0$0$0
MassHealth Home Health Worker Recruitment$0$0$0$0
MassHealth Nursing Home Supplemental Rates$0$0$0$0
MassHealth Nursing Home Supplemental Rates$376,392,762$382,137,211$435,579,331$395,400,000
Community First Initiative$0$0$0$0
MassHealth Fee-for-Service$2,335,534,096$2,908,650,252$3,248,153,524$2,886,113,859
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$6,609,614$6,475,420$8,390,620$12,191,803
MassHealth Family Assistance$562,360,785$490,376,829$343,508,803$366,429,906
Small Business Employee Premium Assistance$36,339,109$35,601,321$34,868,228$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$2,389,753,813$2,236,641,828$2,391,296,804$2,491,506,382
Children's Behavioral Health Initiative$264,027,422$268,518,522$268,110,610$268,301,633
Children's Medical Security Plan$12,913,259$12,651,082$15,056,772$15,435,000
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$29,221,592$28,742,415$28,292,327$27,621,936
MassHealth Inpatient Outlier Payments$0$0$0$0
MassHealth Essential$0$0$0$0
Medicare Part D Phased Down Contribution$471,563,754$445,061,179$433,042,051$439,944,274
Hutchinson Settlement$76,570,509$104,601,146$131,147,044$265,717,683
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$0$0$0$0
Health Care System Reform$0$0$0$0
Health and Human Services IT Costs$133,296,072$107,442,358$112,075,326$142,483,342
Center for Health Information and Analysis$28,969,905$28,994,080$28,097,172$31,070,586
All Payer Claims Database Retained Revenue$934,043$784,354$409,708$250,000
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
Academic Detailing Program$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$1,134,179$1,109,383$1,086,539$1,060,793
Prescription Advantage$18,071,394$17,715,714$15,467,825$14,952,309
Prescription Advantage Co-Pay Subsidies$0$0$0$0
eHealth Institute Fund$0$0$0$0
Mass. Technology Park Corp.$0$0$0$0
Substance Abuse Disorder Reinvestment Trust$50,171,469$0$0$0
Commonwealth Care Trust Tax Transfer$116,896,147$129,581,682$119,282,868$82,308,352