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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
FY18$17,284,498,098$17,284,498,098
FY17$16,929,494,794$16,558,745,748
FY16$17,134,855,839$16,453,913,788
FY15$15,720,360,167$14,994,958,704
FY14$14,394,895,668$13,632,949,740
FY13$13,438,160,984$12,532,049,647
FY12$13,254,072,102$12,155,735,125
FY11$13,685,947,481$12,193,712,983
FY10$12,456,026,049$10,882,022,872
FY09$11,709,398,247$10,130,036,655
FY08$11,432,382,969$9,753,784,977
FY07$11,499,337,372$9,459,969,440
FY06$10,577,525,462$8,481,219,121
FY05$12,005,727,892$9,275,962,589
FY04$10,365,461,646$7,775,042,483
FY03$9,229,969,500$6,773,900,233
FY02$8,971,816,298$6,442,512,774
FY01$7,745,327,215$5,465,019,237
  • See Changes in Funding
Between and
Funding for MassHealth (Medicaid) & Health Reform
51.2%

comparisons adjusted for inflation (CPI)

Adjusted for inflation (CPI) NOT adjusted
FY18 GAA$16,924,872,404$16,924,872,404
FY18 Leg$17,134,272,404$17,134,272,404
FY18 Sen$17,422,064,141$17,422,064,141
FY18 SWM$17,420,539,141$17,420,539,141
FY18 Hou$17,469,226,732$17,469,226,732
FY18 HWM$17,464,451,732$17,464,451,732
FY18 Gov$17,542,192,477$17,542,192,477
FY17$16,929,494,794$16,558,745,748

funding levels adjusted for inflation (CPI)

  • Active Line Items
  • All Line Items
FY14FY15FY16FY17FY18
Health Policy Commission$0$0$0$8,669,662$8,479,009
Delivery System Transformation Initiatives Trust Fund$98,672,363$229,554,205$196,969,195$200,646,068$186,649,333
Medical Assistance Trust Fund$654,678,214$670,436,680$1,070,022,889$752,636,662$747,100,000
Health Information Technology Trust Fund$1,187,876$8,515,643$8,490,694$9,051,496$4,153,272
Commonwealth Care Trust Fund$427,718,489$0$0$0$0
Health Care Cost Containment Reserve$239,141$71,832$0$0$0
Behavioral Health Pilot$0$0$260,346$0$0
Behavioral Health Integration in Patient Centered Medical Homes$0$0$260,346$0$0
Administrative Costs of Employer Medical Assistance Contribution$0$0$0$0$2,925,694
Edward Kennedy Community Health Center$0$0$104,138$0$100,000
Health Insurance Exchange Operations$0$0$0$0$15,000,000
Primary Care Workforce$3,167,670$0$0$0$0
Exec. Office Health and Human Services$96,915,725$91,651,681$96,057,805$102,214,544$102,682,373
MassHealth Auditing and Utilization Reviews$4,663,358$4,363,180$4,469,323$0$0
MassHealth Field Auditing Taskforce$316,767$0$0$0$0
MassHealth Recoveries$237,575,256$235,884,680$234,311,582$230,037,733$225,000,000
EOHHS Contingency Contracts Retained Revenue$0$62,902,581$52,069,240$54,953,458$56,750,000
State Plan Amendment Support$0$413,060$0$51,119$50,000
MassHealth CommonHealth$96,164,776$116,491,309$124,440,502$158,508,365$164,396,477
MassHealth Managed Care$4,751,939,941$5,024,679,105$6,178,577,297$5,539,843,521$5,553,251,863
MassHealth Senior Care$3,013,336,448$3,351,731,684$3,099,526,018$3,588,349,486$0
MassHealth Senior Care$0$0$0$0$3,520,335,443
MassHealth Nursing Home Supplemental Rates$337,145,686$306,440,409$315,435,458$352,826,763$0
MassHealth Nursing Home Supplemental Rates$0$0$0$0$352,600,000
MassHealth Fee-for-Service$2,336,026,851$2,658,335,990$2,756,053,215$2,404,495,915$2,187,898,930
MassHealth Basic Coverage$190,521,744$0$0$0$0
MassHealth Breast and Cervical Cancer Treatment$6,045,181$6,002,163$6,260,242$6,330,437$6,191,803
MassHealth Family Assistance$235,217,393$214,702,551$264,271,322$340,770,913$526,812,502
Small Business Employee Premium Assistance$0$32,370,837$33,762,707$34,804,218$34,042,020
MassHealth Premium Assist. and Insur. Partnership$32,602,838$0$0$0$0
Healthy Start$15,247,042$0$0$0$0
ACA Expansion Populations$473,039,132$1,785,067,007$1,782,965,871$2,195,490,721$2,238,691,278
Children's Behavioral Health Initiative$214,556,960$217,403,580$230,456,426$241,669,650$247,337,564
Children's Medical Security Plan$13,952,721$13,853,434$13,761,046$17,862,288$12,096,978
MassHealth HIV Plan$19,792,366$24,839,881$25,907,937$27,987,330$27,374,419
MassHealth Essential$517,257,552$0$0$0$0
Medicare Part D Phased Down Contribution$300,034,347$317,312,210$348,235,728$380,653,703$441,754,986
Hutchinson Settlement$0$35,978,180$51,456,906$73,250,550$71,730,289
MassHealth Operations$2,200,217$2,207,627$2,323,847$0$0
Health Care System Reform$897,259$910,013$988,378$0$0
Health and Human Services IT Costs$103,845,648$109,623,319$126,362,564$119,391,401$124,870,082
Center for Health Information and Analysis$26,891,221$30,893,442$28,865,074$28,250,071$27,431,406
All Payer Claims Database Retained Revenue$4,223,560$4,193,505$3,564,194$511,195$875,000
Health Care Access Bureau Assessment$1,161,479$1,153,214$1,145,523$1,086,274$1,062,485
Community Choices$0$0$0$0$223,419,000
Prescription Advantage$17,938,326$19,334,343$19,440,748$18,169,834$16,929,054
Substance Abuse Disorder Reinvestment Trust$0$0$0$0$47,000,000
Commonwealth Care Trust Tax Transfer$159,722,119$143,042,820$58,039,277$40,981,415$109,506,838
FY14FY15FY16FY17FY18
Health Policy Commission$0$0$0$8,669,662$8,479,009
Academic Detailing Program$0$0$0$0$0
Uncompensated Care Trust Fund$0$0$0$0$0
Delivery System Transformation Initiatives Trust Fund$98,672,363$229,554,205$196,969,195$200,646,068$186,649,333
Medical Assistance Trust Fund$654,678,214$670,436,680$1,070,022,889$752,636,662$747,100,000
Health Information Technology Trust Fund$1,187,876$8,515,643$8,490,694$9,051,496$4,153,272
Community Hospital Reinvestment Trust Fund$0$0$0$0$0
Ambulatory Payment Group Trust$0$0$0$0$0
Essential Community Provider Trust Fund$0$0$0$0$0
Medical Security Trust Fund$0$0$0$0$0
Commonwealth Care Trust Fund$427,718,489$0$0$0$0
Health Care Workforce Transformation Trust$0$0$0$0$0
Commonwealth Health Insurance Connector$0$0$0$0$0
Dept. of Medical Assistance Operations Reserve$0$0$0$0$0
Analysis of DMA IT Systems$0$0$0$0$0
Health Care Cost Containment Reserve$239,141$71,832$0$0$0
Behavioral Health Integration in Patient Centered Medical Homes$0$0$0$0$0
Behavioral Health Pilot$0$0$260,346$0$0
Health Care Reform Implementation Reserve$0$0$0$0$0
Health Care Cost Containment Reserve$0$0$0$0$0
Health Care Cost Containment Reserve$0$0$0$0$0
Hale Hospital Reserve$0$0$0$0$0
Behavioral Health Integration in Patient Centered Medical Homes$0$0$260,346$0$0
Administrative Costs of Employer Medical Assistance Contribution$0$0$0$0$2,925,694
Rosie D. Reserve$0$0$0$0$0
Edward Kennedy Community Health Center$0$0$104,138$0$100,000
Managed Care Oversight Board$0$0$0$0$0
Health Insurance Exchange Operations$0$0$0$0$15,000,000
Dental Loan Forgiveness$0$0$0$0$0
Primary Care Workforce$3,167,670$0$0$0$0
Exec. Office Health and Human Services$96,915,725$91,651,681$96,057,805$102,214,544$102,682,373
MassHealth Auditing and Utilization Reviews$4,663,358$4,363,180$4,469,323$0$0
Pediatric Disproportionate Share Hospital (DSH) Payments$0$0$0$0$0
Prior Year Rate Settlements$0$0$0$0$0
Health Care Decision Support System$0$0$0$0$0
DMA Administration Retained Revenue$0$0$0$0$0
MassHealth Admin. Expenses$0$0$0$0$0
MassHealth Field Auditing Taskforce$316,767$0$0$0$0
MassHealth Contracted Services$0$0$0$0$0
MassHealth Recoveries$237,575,256$235,884,680$234,311,582$230,037,733$225,000,000
EOHHS Contingency Contracts Retained Revenue$0$62,902,581$52,069,240$54,953,458$56,750,000
MassHealth Administrative Services$0$0$0$0$0
State Plan Amendment Support$0$413,060$0$51,119$50,000
MassHealth Enrollment Outreach Grants$0$0$0$0$0
Health Care Quality and Cost Council$0$0$0$0$0
Health Information Analysis Retained Revenue$0$0$0$0$0
MassHealth CommonHealth$96,164,776$116,491,309$124,440,502$158,508,365$164,396,477
Senior Pharmacy Assistance$0$0$0$0$0
MassHealth Managed Care$4,751,939,941$5,024,679,105$6,178,577,297$5,539,843,521$5,553,251,863
MassHealth Managed Care Enrollment Incentives$0$0$0$0$0
MassHealth Senior Care$3,013,336,448$3,351,731,684$3,099,526,018$3,588,349,486$0
MassHealth Senior Care$0$0$0$0$3,520,335,443
MassHealth Senior Care Options$0$0$0$0$0
MassHealth Home Health Worker Recruitment$0$0$0$0$0
MassHealth Nursing Home Supplemental Rates$337,145,686$306,440,409$315,435,458$352,826,763$0
MassHealth Nursing Home Supplemental Rates$0$0$0$0$352,600,000
Community First Initiative$0$0$0$0$0
MassHealth Fee-for-Service$2,336,026,851$2,658,335,990$2,756,053,215$2,404,495,915$2,187,898,930
MassHealth Standard Coverage$0$0$0$0$0
MassHealth Basic Program Expansion$0$0$0$0$0
MassHealth Basic Coverage$190,521,744$0$0$0$0
MassHealth Breast and Cervical Cancer Treatment$6,045,181$6,002,163$6,260,242$6,330,437$6,191,803
MassHealth Family Assistance$235,217,393$214,702,551$264,271,322$340,770,913$526,812,502
Small Business Employee Premium Assistance$0$32,370,837$33,762,707$34,804,218$34,042,020
MassHealth Premium Assist. and Insur. Partnership$32,602,838$0$0$0$0
MassHealth Insurance Partnership for Employers$0$0$0$0$0
Healthy Start$15,247,042$0$0$0$0
ACA Expansion Populations$473,039,132$1,785,067,007$1,782,965,871$2,195,490,721$2,238,691,278
Children's Behavioral Health Initiative$214,556,960$217,403,580$230,456,426$241,669,650$247,337,564
Children's Medical Security Plan$13,952,721$13,853,434$13,761,046$17,862,288$12,096,978
Nursing Home Certified Nurses' Aides Rate Add-on$0$0$0$0$0
MassHealth Acute Care Hospital Rate Increase$0$0$0$0$0
MassHealth Acute Care Hospital Rate Increase$0$0$0$0$0
MassHealth Financially Distressed Hospital Payments$0$0$0$0$0
MassHealth Distressed Non-Profit Provider Payments$0$0$0$0$0
MassHealth HIV Plan$19,792,366$24,839,881$25,907,937$27,987,330$27,374,419
MassHealth Inpatient Outlier Payments$0$0$0$0$0
MassHealth Essential$517,257,552$0$0$0$0
Medicare Part D Phased Down Contribution$300,034,347$317,312,210$348,235,728$380,653,703$441,754,986
Hutchinson Settlement$0$35,978,180$51,456,906$73,250,550$71,730,289
MassHealth Community Health Center Rates$0$0$0$0$0
Interim Catastrophic Pharmacy Assistance Program$0$0$0$0$0
Catastrophic Pharmacy Assistance Program$0$0$0$0$0
Pharmacy Expansion for Children$0$0$0$0$0
MassHealth Dental Rate Increase$0$0$0$0$0
MassHealth Operations$2,200,217$2,207,627$2,323,847$0$0
Health Care System Reform$897,259$910,013$988,378$0$0
Health and Human Services IT Costs$103,845,648$109,623,319$126,362,564$119,391,401$124,870,082
Center for Health Information and Analysis$26,891,221$30,893,442$28,865,074$28,250,071$27,431,406
All Payer Claims Database Retained Revenue$4,223,560$4,193,505$3,564,194$511,195$875,000
Nursing Home Certified Nurses' Aides Rate Audits$0$0$0$0$0
Grants to Community Health Centers$0$0$0$0$0
Grants to Non-profit Providers of Elder Care$0$0$0$0$0
Grants to Community Health Centers$0$0$0$0$0
Health Safety Net Claims Migration Revenue$0$0$0$0$0
Health Care Quality and Cost Council Revenue$0$0$0$0$0
Healthy Start Program$0$0$0$0$0
Children's Medical Security Plan$0$0$0$0$0
Health Care Access Bureau Assessment$1,161,479$1,153,214$1,145,523$1,086,274$1,062,485
Community Choices$0$0$0$0$223,419,000
Prescription Advantage$17,938,326$19,334,343$19,440,748$18,169,834$16,929,054
Prescription Advantage Co-Pay Subsidies$0$0$0$0$0
eHealth Institute Fund$0$0$0$0$0
Mass. Technology Park Corp.$0$0$0$0$0
Substance Abuse Disorder Reinvestment Trust$0$0$0$0$47,000,000
Commonwealth Care Trust Tax Transfer$159,722,119$143,042,820$58,039,277$40,981,415$109,506,838