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Inflation Adjustment
  • CPI: adjusts for changes in the cost of goods and services purchased by consumers
  • IPD: adjusts for changes in the cost of goods and services purchased by governments
  • Economic Growth: adjusts for changes in the size of the state economy (measured in terms of total personal income)
  • None: does not capture changes in the value of a dollar over time.

MassHealth (Medicaid) & Health Reform

funding levels adjusted for inflation (cpi)

  • Funding History
Adjusted for inflation (cpi) NOT adjusted
FY19 HWM$17,576,430,967$17,576,430,967
FY18$17,677,547,011$17,284,498,098
FY17$17,304,317,330$16,558,745,748
FY16$17,514,225,111$16,453,913,788
FY15$16,068,412,211$14,994,958,704
FY14$14,713,601,653$13,632,949,740
FY13$13,735,684,664$12,532,049,647
FY12$13,547,520,015$12,155,735,125
FY11$13,988,957,205$12,193,712,983
FY10$12,731,805,057$10,882,022,872
FY09$11,968,646,760$10,130,036,655
FY08$11,685,498,306$9,753,784,977
FY07$11,753,935,093$9,459,969,440
FY06$10,811,714,076$8,481,219,121
FY05$12,271,537,205$9,275,962,589
FY04$10,594,955,123$7,775,042,483
FY03$9,434,322,945$6,773,900,233
FY02$9,170,454,177$6,442,512,774
FY01$7,916,810,371$5,465,019,237
  • See Changes in Funding
Between and
Funding for MassHealth (Medicaid) & Health Reform
51.3%

comparisons adjusted for inflation (cpi)

Adjusted for inflation (cpi) NOT adjusted
FY19 HWM$17,576,430,967$17,576,430,967
FY19 Gov$17,367,536,546$17,367,536,546
FY18$17,677,547,011$17,284,498,098

funding levels adjusted for inflation (cpi)

  • Active Line Items
  • All Line Items
FY17FY18FY19 GovFY19 HWM
Health Policy Commission$8,861,610$8,671,821$8,540,451$8,769,931
Delivery System Transformation Initiatives Trust Fund$205,088,414$190,893,733$0$0
Medical Assistance Trust Fund$769,300,194$764,089,029$452,450,000$452,450,000
Health Information Technology Trust Fund$9,251,898$4,247,717$19,153,272$10,000,000
Safety Net Provider Trust Fund$0$0$167,640,000$167,640,000
Commonwealth Care Trust Fund$0$0$130,772,892$45,772,939
Administrative Costs of Employer Medical Assistance Contribution$0$2,992,224$1,775,216$1,775,216
Edward Kennedy Community Health Center$0$102,274$0$0
Health Insurance Exchange Operations$0$15,341,100$15,000,000$15,000,000
Exec. Office Health and Human Services$104,477,595$105,017,367$103,379,599$103,377,269
MassHealth Recoveries$235,130,816$230,116,493$225,000,000$225,000,000
EOHHS Contingency Contracts Retained Revenue$56,170,139$58,040,493$56,750,000$56,750,000
State Plan Amendment Support$52,251$51,137$0$0
MassHealth CommonHealth$162,017,773$168,134,847$170,898,671$170,898,671
MassHealth Managed Care$5,662,496,809$5,679,532,626$5,557,010,341$5,759,010,341
MassHealth Senior Care$3,667,796,290$0$0$0
MassHealth Senior Care$0$3,600,387,754$3,583,516,725$3,583,516,725
MassHealth Nursing Home Supplemental Rates$360,638,420$0$0$0
MassHealth Nursing Home Supplemental Rates$0$360,618,112$345,100,000$362,900,000
MassHealth Fee-for-Service$2,457,731,955$2,237,651,679$2,625,178,033$2,640,228,033
MassHealth Breast and Cervical Cancer Treatment$6,470,594$6,332,604$6,191,803$6,191,803
MassHealth Family Assistance$348,315,652$538,792,201$468,898,836$468,898,836
Small Business Employee Premium Assistance$35,574,791$34,816,134$34,042,020$34,042,020
ACA Expansion Populations$2,244,099,343$2,289,599,043$2,070,679,253$2,138,679,253
Children's Behavioral Health Initiative$247,020,266$252,962,012$254,757,691$254,757,691
Children's Medical Security Plan$18,257,763$12,372,063$12,096,978$12,096,978
MassHealth HIV Plan$28,606,975$27,996,912$27,483,527$27,483,527
Medicare Part D Phased Down Contribution$389,081,455$451,800,480$425,567,963$425,567,964
Hutchinson Settlement$74,872,333$73,361,433$100,019,726$100,019,725
Health and Human Services IT Costs$122,034,752$127,709,624$102,764,307$102,736,495
Center for Health Information and Analysis$28,875,534$28,055,195$27,431,406$27,431,406
All Payer Claims Database Retained Revenue$522,513$894,897$750,000$750,000
Health Care Access Bureau Assessment$1,110,324$1,086,646$1,062,485$1,060,793
Community Choices$0$228,499,541$228,150,762$228,150,762
Prescription Advantage$18,572,118$17,314,020$16,939,784$16,939,784
Substance Abuse Disorder Reinvestment Trust$0$48,068,778$0$0
Commonwealth Care Trust Tax Transfer$41,888,752$111,997,020$128,534,805$128,534,805
FY17FY18FY19 GovFY19 HWM
Health Policy Commission$8,861,610$8,671,821$8,540,451$8,769,931
Academic Detailing Program$0$0$0$0
Uncompensated Care Trust Fund$0$0$0$0
Delivery System Transformation Initiatives Trust Fund$205,088,414$190,893,733$0$0
Medical Assistance Trust Fund$769,300,194$764,089,029$452,450,000$452,450,000
Health Information Technology Trust Fund$9,251,898$4,247,717$19,153,272$10,000,000
Safety Net Provider Trust Fund$0$0$167,640,000$167,640,000
Community Hospital Reinvestment Trust Fund$0$0$0$0
Ambulatory Payment Group Trust$0$0$0$0
Essential Community Provider Trust Fund$0$0$0$0
Medical Security Trust Fund$0$0$0$0
Commonwealth Care Trust Fund$0$0$130,772,892$45,772,939
Health Care Workforce Transformation Trust$0$0$0$0
Commonwealth Health Insurance Connector$0$0$0$0
Dept. of Medical Assistance Operations Reserve$0$0$0$0
Analysis of DMA IT Systems$0$0$0$0
Health Care Cost Containment Reserve$0$0$0$0
Behavioral Health Integration in Patient Centered Medical Homes$0$0$0$0
Behavioral Health Pilot$0$0$0$0
Health Care Reform Implementation Reserve$0$0$0$0
Health Care Cost Containment Reserve$0$0$0$0
Health Care Cost Containment Reserve$0$0$0$0
Hale Hospital Reserve$0$0$0$0
Behavioral Health Integration in Patient Centered Medical Homes$0$0$0$0
Administrative Costs of Employer Medical Assistance Contribution$0$2,992,224$1,775,216$1,775,216
Rosie D. Reserve$0$0$0$0
Edward Kennedy Community Health Center$0$102,274$0$0
Managed Care Oversight Board$0$0$0$0
Health Insurance Exchange Operations$0$15,341,100$15,000,000$15,000,000
Dental Loan Forgiveness$0$0$0$0
Primary Care Workforce$0$0$0$0
Exec. Office Health and Human Services$104,477,595$105,017,367$103,379,599$103,377,269
MassHealth Auditing and Utilization Reviews$0$0$0$0
Pediatric Disproportionate Share Hospital (DSH) Payments$0$0$0$0
Prior Year Rate Settlements$0$0$0$0
Health Care Decision Support System$0$0$0$0
DMA Administration Retained Revenue$0$0$0$0
MassHealth Admin. Expenses$0$0$0$0
MassHealth Field Auditing Taskforce$0$0$0$0
MassHealth Contracted Services$0$0$0$0
MassHealth Recoveries$235,130,816$230,116,493$225,000,000$225,000,000
EOHHS Contingency Contracts Retained Revenue$56,170,139$58,040,493$56,750,000$56,750,000
MassHealth Administrative Services$0$0$0$0
State Plan Amendment Support$52,251$51,137$0$0
MassHealth Enrollment Outreach Grants$0$0$0$0
Health Care Quality and Cost Council$0$0$0$0
Health Information Analysis Retained Revenue$0$0$0$0
MassHealth CommonHealth$162,017,773$168,134,847$170,898,671$170,898,671
Senior Pharmacy Assistance$0$0$0$0
MassHealth Managed Care$5,662,496,809$5,679,532,626$5,557,010,341$5,759,010,341
MassHealth Managed Care Enrollment Incentives$0$0$0$0
MassHealth Senior Care$3,667,796,290$0$0$0
MassHealth Senior Care$0$3,600,387,754$3,583,516,725$3,583,516,725
MassHealth Senior Care Options$0$0$0$0
MassHealth Home Health Worker Recruitment$0$0$0$0
MassHealth Nursing Home Supplemental Rates$360,638,420$0$0$0
MassHealth Nursing Home Supplemental Rates$0$360,618,112$345,100,000$362,900,000
Community First Initiative$0$0$0$0
MassHealth Fee-for-Service$2,457,731,955$2,237,651,679$2,625,178,033$2,640,228,033
MassHealth Standard Coverage$0$0$0$0
MassHealth Basic Program Expansion$0$0$0$0
MassHealth Basic Coverage$0$0$0$0
MassHealth Breast and Cervical Cancer Treatment$6,470,594$6,332,604$6,191,803$6,191,803
MassHealth Family Assistance$348,315,652$538,792,201$468,898,836$468,898,836
Small Business Employee Premium Assistance$35,574,791$34,816,134$34,042,020$34,042,020
MassHealth Premium Assist. and Insur. Partnership$0$0$0$0
MassHealth Insurance Partnership for Employers$0$0$0$0
Healthy Start$0$0$0$0
ACA Expansion Populations$2,244,099,343$2,289,599,043$2,070,679,253$2,138,679,253
Children's Behavioral Health Initiative$247,020,266$252,962,012$254,757,691$254,757,691
Children's Medical Security Plan$18,257,763$12,372,063$12,096,978$12,096,978
Nursing Home Certified Nurses' Aides Rate Add-on$0$0$0$0
MassHealth Acute Care Hospital Rate Increase$0$0$0$0
MassHealth Acute Care Hospital Rate Increase$0$0$0$0
MassHealth Financially Distressed Hospital Payments$0$0$0$0
MassHealth Distressed Non-Profit Provider Payments$0$0$0$0
MassHealth HIV Plan$28,606,975$27,996,912$27,483,527$27,483,527
MassHealth Inpatient Outlier Payments$0$0$0$0
MassHealth Essential$0$0$0$0
Medicare Part D Phased Down Contribution$389,081,455$451,800,480$425,567,963$425,567,964
Hutchinson Settlement$74,872,333$73,361,433$100,019,726$100,019,725
MassHealth Community Health Center Rates$0$0$0$0
Interim Catastrophic Pharmacy Assistance Program$0$0$0$0
Catastrophic Pharmacy Assistance Program$0$0$0$0
Pharmacy Expansion for Children$0$0$0$0
MassHealth Dental Rate Increase$0$0$0$0
MassHealth Operations$0$0$0$0
Health Care System Reform$0$0$0$0
Health and Human Services IT Costs$122,034,752$127,709,624$102,764,307$102,736,495
Center for Health Information and Analysis$28,875,534$28,055,195$27,431,406$27,431,406
All Payer Claims Database Retained Revenue$522,513$894,897$750,000$750,000
Nursing Home Certified Nurses' Aides Rate Audits$0$0$0$0
Grants to Community Health Centers$0$0$0$0
Grants to Non-profit Providers of Elder Care$0$0$0$0
Grants to Community Health Centers$0$0$0$0
Health Safety Net Claims Migration Revenue$0$0$0$0
Health Care Quality and Cost Council Revenue$0$0$0$0
Healthy Start Program$0$0$0$0
Children's Medical Security Plan$0$0$0$0
Health Care Access Bureau Assessment$1,110,324$1,086,646$1,062,485$1,060,793
Community Choices$0$228,499,541$228,150,762$228,150,762
Prescription Advantage$18,572,118$17,314,020$16,939,784$16,939,784
Prescription Advantage Co-Pay Subsidies$0$0$0$0
eHealth Institute Fund$0$0$0$0
Mass. Technology Park Corp.$0$0$0$0
Substance Abuse Disorder Reinvestment Trust$0$48,068,778$0$0
Commonwealth Care Trust Tax Transfer$41,888,752$111,997,020$128,534,805$128,534,805