Medicaid/Temporary Assistance for Needy Families
The Medicaid program has grown considerably since it was signed into law under Title XIX of the Social Security Act in 1965. Currently, medicaid is the third largest source of health insurance following Medicare and employment based plans.
According to the Kaiser Commission on Medicaid and the Uninsured (KCMU), in 2005 there were 59 million enrollees in Medicaid and $275 billion in benefits expenditures. Individuals covered under Medicaid include low-income families, individuals with disabilities and the elderly.
There are federal guidelines regarding Medicaid coverage, but eligibility and coverage vary from state to state. According to CMS, 47 of 50 states have some form of managed care as of June 30, 2007. Further, 64.1% of the total Medicaid population is enrolled in managed care, up from 53.6% in 1998. The total Medicaid population has grown from 30.9 million in 1998 to 45.9 million in 2007.