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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
FY22$20,217,725,442$20,217,725,442
FY21$19,752,038,345$19,454,674,610
FY20$18,985,906,416$18,473,077,335
FY19$18,369,106,734$17,594,469,730
FY18$18,196,890,681$17,075,236,334
FY17$18,042,275,918$16,558,745,748
FY16$18,261,447,378$16,453,913,788
FY15$16,752,274,673$14,994,958,704
FY14$15,340,188,075$13,633,449,740
FY13$14,320,309,901$12,532,049,647
FY12$14,124,513,138$12,155,828,125
FY11$14,584,750,928$12,193,805,983
FY10$13,273,955,069$10,882,022,872
FY09$12,478,607,662$10,130,286,655
FY08$12,183,094,132$9,753,784,977
FY07$12,254,445,117$9,459,969,440
FY06$11,272,102,127$8,481,219,121
FY05$12,794,087,937$9,275,962,589
FY04$11,046,113,072$7,775,042,483
FY03$9,836,058,462$6,773,900,233
FY02$9,560,953,546$6,442,512,774
FY01$8,253,926,657$5,465,019,237

comparisons adjusted for inflation (CPI)

  • See Changes in Funding
Between and
Funding for MassHealth (Medicaid) & Health Reform
65.9%

comparisons adjusted for inflation (CPI)

Adjusted for inflation (CPI) NOT adjusted
FY22 GAA$20,145,788,206$20,145,788,206
FY22 Leg$20,145,788,206$20,145,788,206
FY22 Sen$20,139,563,205$20,139,563,205
FY22 SWM$20,138,338,205$20,138,338,205
FY22 Hou$20,128,463,205$20,128,463,205
FY22 HWM$20,122,138,205$20,122,138,205
FY22 Gov$18,766,810,605$18,766,810,605
FY21$19,752,038,345$19,454,674,610

funding levels adjusted for inflation (CPI)

  • Active Line Items
  • All Line Items
FY18FY19FY20FY21FY22
Health Policy Commission$8,449,857$9,156,047$10,366,697$10,458,572$10,513,097
Academic Detailing Program$0$0$154,164$0$0
Delivery System Transformation Initiatives Trust Fund$198,910,132$0$0$0$0
Medical Assistance Trust Fund$796,176,215$612,426,414$519,826,042$512,975,527$503,295,075
Health Information Technology Trust Fund$20,411,430$27,617,842$10,277,609$14,394,608$14,177,900
Safety Net Provider Trust Fund$0$175,020,737$173,794,367$107,158,758$171,170,750
Commonwealth Care Trust Fund$0$3,962,962$0$85,592,111$35,000,000
Administrative Costs of Employer Medical Assistance Contribution$3,117,880$1,070,353$770,821$0$0
Edward Kennedy Community Health Center$106,569$208,805$205,552$203,057$200,000
Health Insurance Exchange Operations$15,985,334$7,010,143$23,931,905$15,229,274$15,000,000
Exec. Office Health and Human Services$109,427,470$109,138,139$112,803,886$120,575,162$120,584,923
Nursing Home Sustainability Task Force$0$0$205,552$0$0
MassHealth Recoveries$239,780,014$234,906,143$231,246,200$228,439,114$225,000,000
EOHHS Contingency Contracts Retained Revenue$60,477,848$59,248,549$58,325,431$60,917,097$60,000,000
State Plan Amendment Support$53,284$52,201$0$0$0
MassHealth CommonHealth$175,195,509$178,422,878$161,987,587$190,036,491$191,450,151
MassHealth Managed Care$5,918,039,147$6,012,564,019$5,757,992,855$6,034,119,740$6,048,311,783
MassHealth Senior Care$3,751,582,582$3,745,465,401$3,850,489,422$3,954,023,231$3,714,225,672
MassHealth Nursing Home Supplemental Rates$375,761,924$381,487,576$437,063,764$401,443,669$395,400,000
MassHealth Fee-for-Service$2,331,619,714$2,903,705,533$3,692,938,167$3,383,818,504$3,175,853,542
MassHealth Breast and Cervical Cancer Treatment$6,598,536$6,464,411$8,419,215$30,074,706$18,000,000
MassHealth Family Assistance$561,418,262$489,543,186$344,679,464$397,123,711$448,183,863
Small Business Employee Premium Assistance$36,278,205$35,540,798$34,987,057$34,562,351$34,042,020
ACA Expansion Populations$2,385,748,558$2,232,839,527$2,399,446,225$2,959,754,461$3,675,946,600
Childrens Behavioral Health Initiative$263,584,909$268,062,039$269,024,318$272,402,610$266,796,471
Childrens Medical Security Plan$12,891,616$12,629,575$15,108,085$15,670,923$16,206,750
MassHealth HIV Plan$29,172,616$28,693,552$28,388,746$12,378,154$12,000,000
Medicare Part D Phased Down Contribution$470,773,407$444,304,573$434,517,837$410,475,723$490,313,069
Hutchinson Settlement$76,442,176$104,423,323$131,593,986$194,864,971$0
MassHealth Acquired Brain Injury and Moving Forward Plan Waivers$0$0$0$0$314,445,456
Health and Human Services IT Costs$133,072,667$107,259,706$112,457,273$152,807,213$143,366,527
Center for Health Information and Analysis$28,921,351$28,944,790$28,192,926$31,545,498$28,900,000
All Payer Claims Database Retained Revenue$932,478$783,020$411,104$253,821$250,000
Health Care Access Bureau Assessment$1,132,279$1,107,497$1,090,242$1,077,007$1,060,793
Prescription Advantage$18,041,106$17,685,597$15,520,539$17,513,112$17,419,671
Health Safety Net Trust Fund$0$0$0$30,458,549$0
Substance Abuse Disorder Reinvestment Trust$50,087,381$0$0$0$0
Commonwealth Care Trust Tax Transfer$116,700,227$129,361,393$119,689,379$71,690,620$70,611,329
FY18FY19FY20FY21FY22
Health Policy Commission$8,449,857$9,156,047$10,366,697$10,458,572$10,513,097
Academic Detailing Program$0$0$154,164$0$0
Uncompensated Care Trust Fund$0$0$0$0$0
Delivery System Transformation Initiatives Trust Fund$198,910,132$0$0$0$0
Medical Assistance Trust Fund$796,176,215$612,426,414$519,826,042$512,975,527$503,295,075
Health Information Technology Trust Fund$20,411,430$27,617,842$10,277,609$14,394,608$14,177,900
Safety Net Provider Trust Fund$0$175,020,737$173,794,367$107,158,758$171,170,750
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$3,962,962$0$85,592,111$35,000,000
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$0$0$0$0$0
Behavioral Health Integration in Patient Centered Medical Homes$0$0$0$0$0
Behavioral Health Pilot$0$0$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$0$0$0$0
Administrative Costs of Employer Medical Assistance Contribution$3,117,880$1,070,353$770,821$0$0
Rosie D. Reserve$0$0$0$0$0
Edward Kennedy Community Health Center$106,569$208,805$205,552$203,057$200,000
Managed Care Oversight Board$0$0$0$0$0
Health Insurance Exchange Operations$15,985,334$7,010,143$23,931,905$15,229,274$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$109,427,470$109,138,139$112,803,886$120,575,162$120,584,923
MassHealth Auditing and Utilization Reviews$0$0$0$0$0
Nursing Home Sustainability Task Force$0$0$205,552$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$239,780,014$234,906,143$231,246,200$228,439,114$225,000,000
EOHHS Contingency Contracts Retained Revenue$60,477,848$59,248,549$58,325,431$60,917,097$60,000,000
MassHealth Administrative Services$0$0$0$0$0
State Plan Amendment Support$53,284$52,201$0$0$0
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$175,195,509$178,422,878$161,987,587$190,036,491$191,450,151
Senior Pharmacy Assistance$0$0$0$0$0
MassHealth Managed Care$5,918,039,147$6,012,564,019$5,757,992,855$6,034,119,740$6,048,311,783
MassHealth Managed Care Enrollment Incentives$0$0$0$0$0
MassHealth Senior Care$0$0$0$0$0
MassHealth Senior Care$3,751,582,582$3,745,465,401$3,850,489,422$3,954,023,231$3,714,225,672
MassHealth Senior Care Options$0$0$0$0$0
MassHealth Home Health Worker Recruitment$0$0$0$0$0
MassHealth Nursing Home Supplemental Rates$0$0$0$0$0
MassHealth Nursing Home Supplemental Rates$375,761,924$381,487,576$437,063,764$401,443,669$395,400,000
Community First Initiative$0$0$0$0$0
MassHealth Fee-for-Service$2,331,619,714$2,903,705,533$3,692,938,167$3,383,818,504$3,175,853,542
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$6,598,536$6,464,411$8,419,215$30,074,706$18,000,000
MassHealth Family Assistance$561,418,262$489,543,186$344,679,464$397,123,711$448,183,863
Small Business Employee Premium Assistance$36,278,205$35,540,798$34,987,057$34,562,351$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$2,385,748,558$2,232,839,527$2,399,446,225$2,959,754,461$3,675,946,600
Childrens Behavioral Health Initiative$263,584,909$268,062,039$269,024,318$272,402,610$266,796,471
Childrens Medical Security Plan$12,891,616$12,629,575$15,108,085$15,670,923$16,206,750
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$29,172,616$28,693,552$28,388,746$12,378,154$12,000,000
MassHealth Inpatient Outlier Payments$0$0$0$0$0
MassHealth Essential$0$0$0$0$0
Medicare Part D Phased Down Contribution$470,773,407$444,304,573$434,517,837$410,475,723$490,313,069
Hutchinson Settlement$76,442,176$104,423,323$131,593,986$194,864,971$0
MassHealth Acquired Brain Injury and Moving Forward Plan Waivers$0$0$0$0$314,445,456
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$0$0$0$0$0
Health Care System Reform$0$0$0$0$0
Health and Human Services IT Costs$133,072,667$107,259,706$112,457,273$152,807,213$143,366,527
Center for Health Information and Analysis$28,921,351$28,944,790$28,192,926$31,545,498$28,900,000
All Payer Claims Database Retained Revenue$932,478$783,020$411,104$253,821$250,000
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
Childrens Medical Security Plan$0$0$0$0$0
Health Care Access Bureau Assessment$1,132,279$1,107,497$1,090,242$1,077,007$1,060,793
Prescription Advantage$18,041,106$17,685,597$15,520,539$17,513,112$17,419,671
Prescription Advantage Co-Pay Subsidies$0$0$0$0$0
eHealth Institute Fund$0$0$0$0$0
Health Safety Net Trust Fund$0$0$0$30,458,549$0
Mass. Technology Park Corp.$0$0$0$0$0
Substance Abuse Disorder Reinvestment Trust$50,087,381$0$0$0$0
Commonwealth Care Trust Tax Transfer$116,700,227$129,361,393$119,689,379$71,690,620$70,611,329
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