Baxter Morgan

speaker

266 appearances 1 recordings 1 series first heard Jul 2026 last heard 28 Jul

Baxter Morgan’s voice in public audio — every appearance, attributed to the second.

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AHLA's Speaking of Health Law · Financing Medicaid Payments: Past, Present, and Future After the OBBBA · 28 Jul 2026 podcast

You know, where can you get these sources of funds?

There but there have been some kind of constant threads throughout that that it really is a partnership and operating within

the boundaries uh that CMS has established over the years, you know, they're more than willing to to finance large portions of these services, but they're expecting this to be a true partnership and not uh a mechanism for states to just rely on Medicaid as an extra funding source and draw down funds that that the government, the federal government really doesn't think is are tied to treating the indigent.

And so, you know, the two main ways that we see

uh Medicaid payments get financing.

Well, three really.

The biggest one is obviously um general revenue from the the state legislatures.

But because each state has a balanced budget requirement, um, generally states are not able to put in as much money as they might want uh because, you know, healthcare is expensive.

And when states are looking at their expenditures either from a fee for service basis or on a managed care side, there's just a limit to what they can put in.

And so that's where a lot of payments on the supplemental side come in.

You know, if it's from the Medicaid dish program, it's from uncompensated care programs, UPL programs, waiver programs, direct to payment programs like we see today.

Um, all of those require that non federal share.

And so that was what the the presentation that Kat and I did in March focused on.

There was a there's another presentation and others related to more the payment side.

And I think

We'll touch on some payment issues, but really we want to talk about these finance mechanisms and what's going on there.

Um, Kat, I don't know what you what do you what do you think about that and kind of what are your

Initial thoughts.

The the idea is that the, you know, we we have sort of the provider taxes after general revenue is a source of financing.

There, the provider taxes are a huge element.

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