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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
FY23 Sen$19,749,723,595$19,749,723,595
FY22$21,361,031,229$20,475,228,598
FY21$21,708,640,647$19,445,634,785
FY20$21,094,957,390$18,473,077,335
FY19$20,409,193,063$17,594,469,730
FY18$20,217,520,486$17,075,236,334
FY17$20,045,485,572$16,558,745,748
FY16$20,289,147,053$16,453,913,788
FY15$18,612,978,194$14,994,958,704
FY14$17,044,048,746$13,633,449,740
FY13$15,910,890,976$12,532,049,647
FY12$15,693,346,735$12,155,828,125
FY11$16,204,703,916$12,193,805,983
FY10$14,748,315,741$10,882,022,872
FY09$13,864,627,750$10,130,286,655
FY08$13,536,291,032$9,753,784,977
FY07$13,615,567,092$9,459,969,440
FY06$12,524,113,602$8,481,219,121
FY05$14,215,148,953$9,275,962,589
FY04$12,273,023,560$7,775,042,483
FY03$10,928,566,135$6,773,900,233
FY02$10,622,904,850$6,442,512,774
FY01$9,170,704,271$5,465,019,237

comparisons adjusted for inflation (cpi)

  • See Changes in Funding
Between and
Funding for MassHealth (Medicaid) & Health Reform
57.8%

comparisons adjusted for inflation (cpi)

Adjusted for inflation (cpi) NOT adjusted
FY23 Sen$19,749,723,595$19,749,723,595
FY23 SWM$19,749,473,595$19,749,473,595
FY23 Hou$19,659,040,665$19,659,040,665
FY23 HWM$19,615,905,665$19,615,905,665
FY23 Gov$19,012,538,468$19,012,538,468
FY22$21,361,031,229$20,475,228,598
FY22 GAA$21,017,338,533$20,145,788,206

funding levels adjusted for inflation (cpi)

  • Active Line Items
  • All Line Items
FY22FY23 GovFY23 HouFY23 Sen
Health Policy Commission$11,802,526$10,640,204$10,883,276$10,883,276
Medical Assistance Trust Fund$783,968,120$575,899,100$575,899,100$575,899,100
Health Information Technology Trust Fund$14,791,267$14,177,900$14,177,900$14,177,900
Safety Net Provider Trust Fund$178,575,967$91,410,176$91,410,176$91,410,176
Commonwealth Care Trust Fund$36,514,176$35,000,000$50,000,000$35,000,000
Edward Kennedy Community Health Center$208,652$0$0$200,000
Health Insurance Exchange Operations$15,648,932$15,000,000$15,000,000$15,000,000
Exec. Office Health and Human Services$126,364,866$123,844,597$124,579,597$121,094,597
MassHealth Recoveries$234,733,986$225,000,000$225,000,000$225,000,000
EOHHS Contingency Contracts Retained Revenue$62,595,730$65,000,000$65,000,000$65,000,000
MassHealth CommonHealth$199,732,698$190,606,564$190,606,564$190,606,564
MassHealth Managed Care$6,309,974,820$5,332,060,744$5,532,060,744$5,530,060,744
MassHealth Senior Care$3,874,911,100$3,725,368,077$3,715,210,993$3,750,795,619
MassHealth Nursing Home Supplemental Rates$0$0$40,000,000$0
MassHealth Nursing Home Supplemental Rates$412,505,858$395,400,000$395,400,000$470,400,000
MassHealth Fee-for-Service$3,313,247,828$3,511,975,144$3,556,175,144$3,595,975,144
MassHealth Breast and Cervical Cancer Treatment$18,778,719$18,000,000$18,000,000$18,000,000
MassHealth Family Assistance$467,573,265$325,501,115$325,501,115$325,501,115
Small Business Employee Premium Assistance$35,514,751$34,042,020$34,042,020$34,042,020
ACA Expansion Populations$3,834,975,993$2,855,462,041$3,233,462,041$3,233,462,041
Childrens Behavioral Health Initiative$278,338,663$267,782,721$267,782,721$267,782,721
Childrens Medical Security Plan$16,907,889$17,017,088$17,017,088$17,017,088
MassHealth HIV Plan$12,519,146$12,000,000$12,000,000$12,000,000
Medicare Part D Phased Down Contribution$511,525,072$562,051,355$547,051,355$547,051,355
MassHealth Acquired Brain Injury and Moving Forward Plan Waivers$328,049,046$338,354,811$338,354,811$338,354,811
Health and Human Services IT Costs$157,914,970$175,064,525$166,693,720$167,727,025
Center for Health Information and Analysis$30,150,276$31,297,988$32,400,000$31,700,000
All Payer Claims Database Retained Revenue$260,816$250,000$0$250,000
Health Care Access Bureau Assessment$1,106,685$1,060,793$1,060,794$1,060,793
Prescription Advantage$18,173,284$16,771,505$17,771,506$17,771,506
Commonwealth Care Trust Tax Transfer$73,666,127$46,500,000$46,500,000$46,500,000
FY22FY23 GovFY23 HouFY23 Sen
Health Policy Commission$11,802,526$10,640,204$10,883,276$10,883,276
Academic Detailing Program$0$0$0$0
Uncompensated Care Trust Fund$0$0$0$0
Delivery System Transformation Initiatives Trust Fund$0$0$0$0
Medical Assistance Trust Fund$783,968,120$575,899,100$575,899,100$575,899,100
Health Information Technology Trust Fund$14,791,267$14,177,900$14,177,900$14,177,900
Safety Net Provider Trust Fund$178,575,967$91,410,176$91,410,176$91,410,176
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$36,514,176$35,000,000$50,000,000$35,000,000
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$0$0$0$0
Rosie D. Reserve$0$0$0$0
Edward Kennedy Community Health Center$208,652$0$0$200,000
Managed Care Oversight Board$0$0$0$0
Health Insurance Exchange Operations$15,648,932$15,000,000$15,000,000$15,000,000
Dental Loan Forgiveness$0$0$0$0
Primary Care Workforce$0$0$0$0
Exec. Office Health and Human Services$126,364,866$123,844,597$124,579,597$121,094,597
MassHealth Auditing and Utilization Reviews$0$0$0$0
Nursing Home Sustainability Task Force$0$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$234,733,986$225,000,000$225,000,000$225,000,000
EOHHS Contingency Contracts Retained Revenue$62,595,730$65,000,000$65,000,000$65,000,000
MassHealth Administrative Services$0$0$0$0
State Plan Amendment Support$0$0$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$199,732,698$190,606,564$190,606,564$190,606,564
Senior Pharmacy Assistance$0$0$0$0
MassHealth Managed Care$6,309,974,820$5,332,060,744$5,532,060,744$5,530,060,744
MassHealth Managed Care Enrollment Incentives$0$0$0$0
MassHealth Senior Care$0$0$0$0
MassHealth Senior Care$3,874,911,100$3,725,368,077$3,715,210,993$3,750,795,619
MassHealth Senior Care Options$0$0$0$0
MassHealth Home Health Worker Recruitment$0$0$0$0
MassHealth Nursing Home Supplemental Rates$0$0$40,000,000$0
MassHealth Nursing Home Supplemental Rates$412,505,858$395,400,000$395,400,000$470,400,000
Community First Initiative$0$0$0$0
MassHealth Fee-for-Service$3,313,247,828$3,511,975,144$3,556,175,144$3,595,975,144
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$18,778,719$18,000,000$18,000,000$18,000,000
MassHealth Family Assistance$467,573,265$325,501,115$325,501,115$325,501,115
Small Business Employee Premium Assistance$35,514,751$34,042,020$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$3,834,975,993$2,855,462,041$3,233,462,041$3,233,462,041
Childrens Behavioral Health Initiative$278,338,663$267,782,721$267,782,721$267,782,721
Childrens Medical Security Plan$16,907,889$17,017,088$17,017,088$17,017,088
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$12,519,146$12,000,000$12,000,000$12,000,000
MassHealth Inpatient Outlier Payments$0$0$0$0
MassHealth Essential$0$0$0$0
Medicare Part D Phased Down Contribution$511,525,072$562,051,355$547,051,355$547,051,355
Hutchinson Settlement$0$0$0$0
MassHealth Acquired Brain Injury and Moving Forward Plan Waivers$328,049,046$338,354,811$338,354,811$338,354,811
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$157,914,970$175,064,525$166,693,720$167,727,025
Center for Health Information and Analysis$30,150,276$31,297,988$32,400,000$31,700,000
All Payer Claims Database Retained Revenue$260,816$250,000$0$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
Childrens Medical Security Plan$0$0$0$0
Health Care Access Bureau Assessment$1,106,685$1,060,793$1,060,794$1,060,793
Prescription Advantage$18,173,284$16,771,505$17,771,506$17,771,506
Prescription Advantage Co-Pay Subsidies$0$0$0$0
eHealth Institute Fund$0$0$0$0
Health Safety Net Trust Fund$0$0$0$0
Mass. Technology Park Corp.$0$0$0$0
Substance Abuse Disorder Reinvestment Trust$0$0$0$0
Commonwealth Care Trust Tax Transfer$73,666,127$46,500,000$46,500,000$46,500,000
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