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From Crunch to Crisis: State Budgets, Medicaid and the Economy

Monday, February 22, 2010

Medicaid programs are feeling the strain as enrollment grows while state revenues come in lower than projected. This briefing, cosponsored by the Kaiser Commission on Medicaid and the Uninsured, looked at the recession’s effect on Medicaid programs and low-income individuals and families.


tRobin Rudowitz, principal policy analyst for the Kaiser Commission and former Medicaid director in the Office of Legislation at the Centers for Medicare & Medicaid Services

tTom Betlach, director of the Arizona Health Care Cost Containment System, the agency administering multiple sources of governmental and private funds in the state and responsible for regulatory oversight and compliance of Medicaid managed care health plans and health care providers

tJason Helgerson, administrator of Wisconsin’s Division of Health Care Financing, and a key person in the merger of the state’s Medicaid, Badgercare and Healthy Start programs into the comprehensive Badgercare Plus program

tGwen O’Shea, president and CEO of the Health and Welfare Council of Long Island, a private, not-for-profit, health and human services planning, research/public education and advocacy organization that serves as the umbrella for public and voluntary agencies working with Long Island's poor and vulnerable individuals and families

Ed Howard of the Alliance and Diane Rowland of the Kaiser Commission co-moderated.


Ed Howard, Alliance for Health Reform, Moderator
Diane Rowland, Kaiser Commission on Medicaid and the Uninsured, Moderator
Robin Rudowitz, Kaiser Commission on Medicaid and the Uninsured, Speaker
Tom Betlach, Arizona Health Care Cost Containment System, Speaker
Jason Helgerson, Wisconsin Divisioin of Health Care Financing, Speaker
Gwen O'Shea, Health and Welfare Council of Long Island, Speaker

Transcript, Event Summary and/or Webcast and Podcast

Transcript: Transcript (Adobe Acrobat PDF), 2/22/2010
Full Webcast/Podcast: From Crunch to Crisis: State Budgets, Medicaid and the Economy

The full webcast and podcast for this briefing, as well as videos of individual speakers' presentations, are provided by Kaiser Family Foundation.

Speaker Presentations

Robin Rudowitz Presentation (PowerPoint), 2/22/2010
Thomas Betlatch Presentation (PowerPoint), 2/22/2010
Jason Helgerson Presentation (PowerPoint), 2/22/2010
Gwen O'Shea Presentation (PowerPoint), 2/22/2010

(If you want to download one or more slides from these presentations, contact us at info@allhealth or click here for instructions.)

Offsite Materials (briefing documents saved on other websites)

Cuts mean no hospice for some near death, Arizona Daily Star, 2/1/2010
Michigan health care groups fear more cuts to Medicaid, Holland Sentinel, 2/1/2010
Mass. Gov. Deval Patrick proposes to raise $100 million in new taxes, fees,, 1/31/2010
Medicaid in a crunch: A mid fy 2009 update on state Medicaid issues in a recession (Adobe Acrobat PDF),Kaiser Family Foundation Commission on Medicaid and the Uninsured, 1/1/2010
State Fiscal Conditions and Medicaid (Adobe Acrobat PDF),Kaiser Family Foundation Commission on Medicaid and the Uninsured, 9/1/2009
Medicaid and State Budgets: Looking at the Facts (Adobe Acrobat PDF),Georgetown University Health Policy Institute: Center for Children and Families, 4/1/2008
State budget’s Medicaid cuts worry Centra president,, 1/17/2010
Medicaid could get billions, Wall Street Journal, 1/31/2010
Precarious Position: States Must Balance Declining Revenues With a Growing Need for Medicaid (Adobe Acrobat PDF),Families USA, 7/1/2008
Medicaid needs more than a short term fix., Century Foundation, 2/2/2010
State Efforts to cover low-income adults without children (Adobe Acrobat PDF),National Association of State Health Policy, 9/1/2008
Badgercare Plus: Medicaid and Subsidies Under One Umbrella (Adobe Acrobat PDF),National Association of State Health Policy, 8/1/2009
Health Reform The Cost of Failure (Adobe Acrobat PDF),Robert Wood Johnson Foundation, 5/29/2009
More Medicaid Means Less Quality Health Care (Adobe Acrobat PDF),Heritage Foundation, 4/21/2007
States Should Tap New Tools to Help Medicaid Beneficiaries Maintain Coverage (Adobe Acrobat PDF),CBPP, 3/12/2009
State of the States, Robert Wood Johnson Foundation, 1/1/2010
The Economic Recession: Early Impact on Health Care Safety Net Providers (Adobe Acrobat PDF),CSHC, 1/1/2010
Medicaid Expansion Ignores States’ Fiscal Crises, Heritage Foundation, 1/5/2010
In The States: Moving Ahead and Falling Behind with Reform, New America Foundation, 2/3/2010
Medicaid and State Budgets: From Crunch to Cliff (Adobe Acrobat PDF),KFF, 10/1/2009
Medicaid and the Uninsured (Adobe Acrobat PDF),KFF, 1/1/2009
What is the Breakdown of President Barack Obama’s 2011 Budget, and What are Conservative Solutions to Such Spending Sprees? , Heritage Foundation, 2/1/2010
Budget for Fiscal Year 2011, DHHS, 1/1/2010
A New Approach to the State-Federal Relationship In Health, Health Affairs, 1/16/2009
Enrollment is Driving Mediciad Costs but Two Targets can Yield Savings, Health Affairs, 9/1/2009


Tom Betlach of the Arizona Health Care Cost Containment System and Robin Rudowitz of the Kaiser Commission on Medicaid and the Uninsured spoke at the Feb. 22 briefing on Medicaid and the recession, cosponsored by the Kaiser Commission. Click to view the entire briefing webcast or individual speaker videos, with synchronized PowerPoint slides. Photo by Bob Peavy.


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