Article Summary
The article discusses the current state of Medicaid enrollment, with a focus on total enrollment, enrollees by age and urban/rural status, and enrollees with chronic conditions. It also covers the number of adults in the coverage gap and expansion group, as well as median eligibility levels and per-enrollee spending on home care and institutional care. The data is sourced from various state health fact sheets and KFF resources.
What This Means for You
- Understanding the demographics and needs of the Medicaid population can help inform decisions about healthcare access and coverage.
- Medicaid plays a crucial role in providing coverage for adults in the coverage gap, and expansion of the program can lead to increased access to care.
- Medicaid spending on long-term care is significant, and it is important to consider the impact of eligibility levels and per-enrollee spending on the availability and affordability of these services.
- As Medicaid enrollment and spending continue to be key issues in healthcare policy, it is important to stay informed about the latest data and trends.
Original Post
SOURCES
The fact sheets include both state and national level data. Where state-level data was not available, national-level data was used to provide additional context.
For specific sources used in the fact sheets, see below:
- Total Medicaid enrollment: State Health Facts. “Medicaid Expansion Enrollment, June 2024.” KFF,
- Medicaid enrollees by age: State Health Facts. “Medicaid Enrollees by Age, 2021.” KFF,
- Medicaid enrollees by urban/rural status: State Health Facts. “Medicaid Enrollees by Urban/Rural Status, 2021.” KFF,
- Medicaid enrollees with chronic conditions: State Health Facts. “Medicaid Enrollees Ages 19-64 by Number of Chronic Conditions, 2021.” KFF,
- State expansion status: “Status of State Medicaid Expansion Decisions.” KFF,
- Number of adults in the coverage gap: State Health Facts. “Characteristics of Poor Uninsured Nonelderly Adults in the ACA Coverage Gap, 2023.” KFF,
- Number of adults in the expansion group: State Health Facts. “Medicaid Expansion Enrollment, June 2024.” KFF,
- Medicaid covers:
- Share of adult Medicaid enrollees who are working: KFF analysis of the 2023 American Community Survey, 1-Year Estimates.
- Congressional District Maps: Rhiannon Euhus, Alice Burns, Robin Rudowitz. Congressional District Interactive Map: Medicaid Enrollment by Eligibility Group (Washington, DC: KFF, March 2025),
- Median eligibility levels:
- Medicaid spending by service: State Health Facts. “Distribution of Medicaid Spending by Service, Fiscal Year 2023.” KFF,
- Federal funding as a share of total Medicaid spending: KFF,
- Medicaid enrollees & expenditures:
- Per-enrollee spending on home care and institutional care: State Health Facts. “Medicaid Spending per Enrollee Using Long-Term Care (LTC), 2021.” KFF,
- Medicaid enrollees using home care and institutional care: State Health Facts. “Medicaid Enrollees Using LTSS as a Percent of Total Medicaid Enrollees, 2021.” KFF,
- Waiting list enrollment for home care: State Health Facts. “Medicaid HCBS Waiver Waiting List Enrollment, by Target Population and Whether States Screen for Eligibility, 2024.” KFF,
- Share of those that hold favorable views of Medicaid: 7 Charts About Public Opinion on Medicaid (Washington, DC: KFF, March 2025),
- National access measures: KFF analysis of National Health Interview Survey (NHIS), 2023. Doctor visit among adults ages 18 to 64 refers to any health professional in the past year. Delayed or went without care due to cost refers to going without care in the past year.
Key Terms
- Medicaid enrollment
- Medicaid spending
- Medicaid expansion
- Long-term care
- Chronic conditions
ORIGINAL SOURCE:
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