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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
FY21 SWM$19,425,728,869$19,425,728,869
FY20$18,245,663,099$18,051,337,335
FY19$18,065,384,388$17,594,509,730
FY18$17,895,975,141$17,075,236,334
FY17$17,743,917,188$16,558,745,748
FY16$17,959,464,287$16,453,913,788
FY15$16,475,248,237$14,994,958,704
FY14$15,086,512,815$13,633,449,740
FY13$14,083,500,005$12,532,049,647
FY12$13,890,941,064$12,155,828,125
FY11$14,343,568,065$12,193,805,983
FY10$13,054,448,373$10,882,022,872
FY09$12,272,253,344$10,130,286,655
FY08$11,981,626,617$9,753,784,977
FY07$12,051,797,696$9,459,969,440
FY06$11,085,699,364$8,481,219,121
FY05$12,582,516,634$9,275,962,589
FY04$10,863,447,410$7,775,042,483
FY03$9,673,403,045$6,773,900,233
FY02$9,402,847,442$6,442,512,774
FY01$8,117,434,394$5,465,019,237
  • See Changes in Funding
Between and
Funding for MassHealth (Medicaid) & Health Reform
52.3%

comparisons adjusted for inflation (CPI)

Adjusted for inflation (CPI) NOT adjusted
FY21 SWM$19,425,728,869$19,425,728,869
FY21 HWM$19,416,891,829$19,416,891,829
FY21 Gov$17,937,119,638$17,937,119,638
FY20$18,245,663,099$18,051,337,335

funding levels adjusted for inflation (CPI)

  • Active Line Items
  • All Line Items
FY20FY21 GovFY21 SWM
Health Policy Commission$10,498,496$10,001,120$10,001,120
Academic Detailing Program$111,184$0$0
Medical Assistance Trust Fund$511,229,863$430,710,000$505,250,000
Health Information Technology Trust Fund$10,107,652$14,177,900$14,177,900
Safety Net Provider Trust Fund$170,920,391$167,370,000$93,245,500
Commonwealth Care Trust Fund$0$82,068,536$92,068,536
Administrative Costs of Employer Medical Assistance Contribution$758,074$0$0
Edward Kennedy Community Health Center$202,153$0$200,000
Health Insurance Exchange Operations$23,536,151$15,000,000$15,000,000
Exec. Office Health and Human Services$110,938,488$113,534,922$113,884,922
Nursing Home Sustainability Task Force$202,153$0$0
MassHealth Recoveries$227,422,164$225,000,000$225,000,000
EOHHS Contingency Contracts Retained Revenue$57,360,924$60,000,000$60,000,000
MassHealth CommonHealth$159,308,856$178,358,274$187,175,522
MassHealth Managed Care$5,662,774,966$5,500,755,355$5,942,777,046
MassHealth Senior Care$3,786,815,241$3,665,313,653$3,894,496,052
MassHealth Nursing Home Supplemental Rates$429,836,195$395,400,000$395,400,000
MassHealth Fee-for-Service$3,205,326,453$2,886,113,859$3,353,845,665
MassHealth Breast and Cervical Cancer Treatment$8,279,989$12,191,803$29,621,936
MassHealth Family Assistance$338,979,622$366,429,906$391,145,078
Small Business Employee Premium Assistance$34,408,488$34,042,020$34,042,020
ACA Expansion Populations$2,359,767,433$2,491,506,382$2,915,195,837
Childrens Behavioral Health Initiative$264,575,558$268,301,633$268,301,633
Childrens Medical Security Plan$14,858,248$15,435,000$15,435,000
MassHealth HIV Plan$27,919,291$27,621,936$12,191,803
Medicare Part D Phased Down Contribution$427,332,369$439,944,274$404,296,078
Hutchinson Settlement$129,417,863$265,717,683$191,931,310
Health and Human Services IT Costs$110,597,607$142,483,342$140,106,725
Center for Health Information and Analysis$27,726,710$31,070,586$31,070,586
All Payer Claims Database Retained Revenue$404,306$250,000$250,000
Health Care Access Bureau Assessment$1,072,213$1,060,793$1,060,793
Prescription Advantage$15,263,881$14,952,309$16,249,455
Commonwealth Care Trust Tax Transfer$117,710,118$82,308,352$72,308,352
FY20FY21 GovFY21 SWM
Health Policy Commission$10,498,496$10,001,120$10,001,120
Academic Detailing Program$111,184$0$0
Uncompensated Care Trust Fund$0$0$0
Delivery System Transformation Initiatives Trust Fund$0$0$0
Medical Assistance Trust Fund$511,229,863$430,710,000$505,250,000
Health Information Technology Trust Fund$10,107,652$14,177,900$14,177,900
Safety Net Provider Trust Fund$170,920,391$167,370,000$93,245,500
Community Hospital Reinvestment Trust Fund$0$0$0
Ambulatory Payment Group Trust$0$0$0
Essential Community Provider Trust Fund$0$0$0
Medical Security Trust Fund$0$0$0
Commonwealth Care Trust Fund$0$82,068,536$92,068,536
Health Care Workforce Transformation Trust$0$0$0
Commonwealth Health Insurance Connector$0$0$0
Dept. of Medical Assistance Operations Reserve$0$0$0
Analysis of DMA IT Systems$0$0$0
Health Care Cost Containment Reserve$0$0$0
Behavioral Health Integration in Patient Centered Medical Homes$0$0$0
Behavioral Health Pilot$0$0$0
Health Care Reform Implementation Reserve$0$0$0
Health Care Cost Containment Reserve$0$0$0
Health Care Cost Containment Reserve$0$0$0
Hale Hospital Reserve$0$0$0
Behavioral Health Integration in Patient Centered Medical Homes$0$0$0
Administrative Costs of Employer Medical Assistance Contribution$758,074$0$0
Rosie D. Reserve$0$0$0
Edward Kennedy Community Health Center$202,153$0$200,000
Managed Care Oversight Board$0$0$0
Health Insurance Exchange Operations$23,536,151$15,000,000$15,000,000
Dental Loan Forgiveness$0$0$0
Primary Care Workforce$0$0$0
Exec. Office Health and Human Services$110,938,488$113,534,922$113,884,922
MassHealth Auditing and Utilization Reviews$0$0$0
Nursing Home Sustainability Task Force$202,153$0$0
Pediatric Disproportionate Share Hospital (DSH) Payments$0$0$0
Prior Year Rate Settlements$0$0$0
Health Care Decision Support System$0$0$0
DMA Administration Retained Revenue$0$0$0
MassHealth Admin. Expenses$0$0$0
MassHealth Field Auditing Taskforce$0$0$0
MassHealth Contracted Services$0$0$0
MassHealth Recoveries$227,422,164$225,000,000$225,000,000
EOHHS Contingency Contracts Retained Revenue$57,360,924$60,000,000$60,000,000
MassHealth Administrative Services$0$0$0
State Plan Amendment Support$0$0$0
MassHealth Enrollment Outreach Grants$0$0$0
Health Care Quality and Cost Council$0$0$0
Health Information Analysis Retained Revenue$0$0$0
MassHealth CommonHealth$159,308,856$178,358,274$187,175,522
Senior Pharmacy Assistance$0$0$0
MassHealth Managed Care$5,662,774,966$5,500,755,355$5,942,777,046
MassHealth Managed Care Enrollment Incentives$0$0$0
MassHealth Senior Care$0$0$0
MassHealth Senior Care$3,786,815,241$3,665,313,653$3,894,496,052
MassHealth Senior Care Options$0$0$0
MassHealth Home Health Worker Recruitment$0$0$0
MassHealth Nursing Home Supplemental Rates$0$0$0
MassHealth Nursing Home Supplemental Rates$429,836,195$395,400,000$395,400,000
Community First Initiative$0$0$0
MassHealth Fee-for-Service$3,205,326,453$2,886,113,859$3,353,845,665
MassHealth Standard Coverage$0$0$0
MassHealth Basic Program Expansion$0$0$0
MassHealth Basic Coverage$0$0$0
MassHealth Breast and Cervical Cancer Treatment$8,279,989$12,191,803$29,621,936
MassHealth Family Assistance$338,979,622$366,429,906$391,145,078
Small Business Employee Premium Assistance$34,408,488$34,042,020$34,042,020
MassHealth Premium Assist. and Insur. Partnership$0$0$0
MassHealth Insurance Partnership for Employers$0$0$0
Healthy Start$0$0$0
ACA Expansion Populations$2,359,767,433$2,491,506,382$2,915,195,837
Childrens Behavioral Health Initiative$264,575,558$268,301,633$268,301,633
Childrens Medical Security Plan$14,858,248$15,435,000$15,435,000
Nursing Home Certified Nurses Aides Rate Add-on$0$0$0
MassHealth Acute Care Hospital Rate Increase$0$0$0
MassHealth Acute Care Hospital Rate Increase$0$0$0
MassHealth Financially Distressed Hospital Payments$0$0$0
MassHealth Distressed Non-Profit Provider Payments$0$0$0
MassHealth HIV Plan$27,919,291$27,621,936$12,191,803
MassHealth Inpatient Outlier Payments$0$0$0
MassHealth Essential$0$0$0
Medicare Part D Phased Down Contribution$427,332,369$439,944,274$404,296,078
Hutchinson Settlement$129,417,863$265,717,683$191,931,310
MassHealth Community Health Center Rates$0$0$0
Interim Catastrophic Pharmacy Assistance Program$0$0$0
Catastrophic Pharmacy Assistance Program$0$0$0
Pharmacy Expansion for Children$0$0$0
MassHealth Dental Rate Increase$0$0$0
MassHealth Operations$0$0$0
Health Care System Reform$0$0$0
Health and Human Services IT Costs$110,597,607$142,483,342$140,106,725
Center for Health Information and Analysis$27,726,710$31,070,586$31,070,586
All Payer Claims Database Retained Revenue$404,306$250,000$250,000
Nursing Home Certified Nurses Aides Rate Audits$0$0$0
Grants to Community Health Centers$0$0$0
Grants to Non-profit Providers of Elder Care$0$0$0
Grants to Community Health Centers$0$0$0
Health Safety Net Claims Migration Revenue$0$0$0
Health Care Quality and Cost Council Revenue$0$0$0
Academic Detailing Program$0$0$0
Healthy Start Program$0$0$0
Childrens Medical Security Plan$0$0$0
Health Care Access Bureau Assessment$1,072,213$1,060,793$1,060,793
Prescription Advantage$15,263,881$14,952,309$16,249,455
Prescription Advantage Co-Pay Subsidies$0$0$0
eHealth Institute Fund$0$0$0
Mass. Technology Park Corp.$0$0$0
Substance Abuse Disorder Reinvestment Trust$0$0$0
Commonwealth Care Trust Tax Transfer$117,710,118$82,308,352$72,308,352