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March 2013

Reformulating the Federal Match as a Key to the Sustainability of Medicaid

Author Affiliations

Author Affiliations: Division of Neonatal-Perinatal Medicine (Dr Patrick), Department of Pediatrics and Communicable Diseases (Drs Patrick and Davis), Robert Wood Johnson Foundation Clinical Scholars Program and Child Health Evaluation and Research (CHEAR) Unit, Department of Pediatrics and Communicable Diseases (Dr Davis), University of Michigan Health System; and Division of General Medicine, Department of Internal Medicine and Gerald R. Ford School of Public Policy, University of Michigan (Dr Davis), Ann Arbor, Michigan.

JAMA Pediatr. 2013;167(3):218-220. doi:10.1001/jamapediatrics.2013.1075

The recent so-called “great recession” highlighted both the importance of Medicaid to our nation's vulnerable populations and the financial burden of Medicaid on state governments. For the more than 51 million individuals with Medicaid coverage (among them, 26 million children), the program makes access to health care services affordable.1 However, the ever-increasing costs of health care and recent rapid enrollment growth in Medicaid for children, disabled adults, and elderly adults1 make Medicaid progressively unaffordable and fiscally unsustainable for states that must balance their annual budgets.

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