Table 8. Differences in Medicaid Expenditures as Reported to HCFA and as Estimated in the National Health Expenditures, and Effective Match Rates: 1988-93.
1988 | 1989 | 1990 | 1991 | 1992 | 1993 | |
---|---|---|---|---|---|---|
Amount in Billions | ||||||
Reported Medicaid Fiscal Year Expenditures:1 | ||||||
Total | $53.6 | $60.5 | $72.1 | $90.6 | $116.9 | $129.1 |
Federal | 30.2 | 34.2 | 41.0 | 51.8 | 67.1 | 74.0 |
State and Local | 23.4 | 26.3 | 31.1 | 38.8 | 49.8 | 55.1 |
Estimated National Health Accounts Medicaid Calendar Year Expenditures:2 | ||||||
Total | 55.1 | 62.3 | 75.4 | 93.9 | 108.0 | 117.9 |
Federal | 31.0 | 35.4 | 42.7 | 56.7 | 68.3 | 76.1 |
State and Local | 24.1 | 26.8 | 32.7 | 37.2 | 39.7 | 41.8 |
Percent | ||||||
Effective Medicaid Federal Match Rates From: | ||||||
Medicaid Reports1 | 56.3 | 56.5 | 56.9 | 57.2 | 57.4 | 57.3 |
National Health Accounts Estimates2 | 56.3 | 56.8 | 56.6 | 60.4 | 63.2 | 64.5 |
Difference3 | 0.0 | 0.3 | -0.3 | 3.2 | 5.8 | 7.2 |
As reported in HCFA Form-64 (financial settlement sheet for Federal match computations). Excludes Medicaid buy-ins.
ln the national health accounts, disproportionate share payments offset by taxes and donations in the same hospital are excluded from State and local spending. Also excludes Medicaid buy-ins.
Differences in 1989 and 1990 are caused by the difference in calendar year and fiscal year.
NOTE: HCFA is the Health Care Financing Administration.
SOURCE: Health Care Financing Administration, Office of the Actuary: Data from the Office of National Health Statistics.