Executive Summary of State and Local Health Care Marketview

October 2003 Executive Summary of State and Local Health Care Marketview Nearly every state is grappling with declining revenues, increased costs for services, and expanding competition for limited resources, thus facing steep spending cuts or all out freezes in spending. In the area of health care, significant cost escalations are central to the budget challenges. The principal issue is Medicaid. The reality is that the most significant areas of state/local healthcare spending invariably involve Medicaid. More specifically the issues concern Medicaid funding, expenses, systems, program compliance and associated reporting requirements brought about by the Health Insurance Portability and Accountability . . .