Hilltop Research on Medicaid Provider Taxes Featured in the New York Times

A New York Times article released today titled “G.O.P. Targets a Medicaid Loophole Used by 49 States to Grab Federal Money” features Hilltop’s analysis of the potential impact of eliminating the 6% Medicaid provider tax safe harbor threshold. Hilltop Director of Analytics and Research Dr. Morgan Henderson, Senior Data Scientist Dr. Leigh Goetschius, and Interim Executive Director Alice Middleton use provider tax rates and net patient revenue data and find that eliminating the 6% provider tax threshold for hospitals and nursing facilities would put $83.7 billion of federal Medicaid funding at risk. Crucially, this would not impact states equally, and would potentially jeopardize over 30% of total Medicaid federal funding for certain states (Mississippi, South Carolina, Utah, Alabama, New Hampshire, Tennessee, and Iowa). This is the latest in a series of Hilltop analyses focused on modeling state-level impacts of potential federal Medicaid policy changes; click here for other analysis on work requirements and FMAP floor changes.

Publication Details

Journal
Maryland Shared Open Access Repository (USMAI Consortium)
Published
2025-05-06
DOI
https://doi.org/10.13016/m2in4k-glsa
Primary Topic
Healthcare Policy and Management
Type
article
Field-Weighted Citation Impact
0.00
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article

Hilltop Research on Medicaid Provider Taxes Featured in the New York Times

Maryland Shared Open Access Repository (USMAI Consortium)
Healthcare Policy and Management
article

Hilltop Research on Medicaid Provider Taxes Featured in the New York Times

article en

Abstract

A New York Times article released today titled “G.O.P. Targets a Medicaid Loophole Used by 49 States to Grab Federal Money” features Hilltop’s analysis of the potential impact of eliminating the 6% Medicaid provider tax safe harbor threshold. Hilltop Director of Analytics and Research Dr. Morgan Henderson, Senior Data Scientist Dr. Leigh Goetschius, and Interim Executive Director Alice Middleton use provider tax rates and net patient revenue data and find that eliminating the 6% provider tax threshold for hospitals and nursing facilities would put $83.7 billion of federal Medicaid funding at risk. Crucially, this would not impact states equally, and would potentially jeopardize over 30% of total Medicaid federal funding for certain states (Mississippi, South Carolina, Utah, Alabama, New Hampshire, Tennessee, and Iowa). This is the latest in a series of Hilltop analyses focused on modeling state-level impacts of potential federal Medicaid policy changes; click here for other analysis on work requirements and FMAP floor changes.

Maryland Shared Open Access Repository (USMAI Consortium)
Openalex Percentile: Top 23%
Healthcare Policy and Management
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