JLARC Report on Virginia’s Medicaid Program

The Joint Legislative Audit and Review Commission (JLARC) released a report on Monday about the cost-effectiveness of Virginia’s Medicaid program. You can find JLARC’s full report here.

The Virginia Medicaid program provides medical, long-term care, and behavioral health services to over a million individuals in the Commonwealth each year. The General Assembly asked JLARC to look into the program’s cost-effectiveness because Medicaid’s spending increases have outpaced total state budget growth over the past 10 years, and now require more of Virginia’s budget resources.

The report indicates that Medicaid general fund spending has increased by approximately nine percent annually over the last 10 years. In fact, Medicaid spending alone made up 22 percent of the general fund budget in 2016. This makes funding education and other programs more difficult.

JLARC believes a lot of these expenses are preventable and that there are other ways to provide more cost-effective long-term services and care without using so much of Virginia’s budget. JLARC has outlined a series of recommendations, which can be found here.

Please be aware that I am not writing this in opposition to Medicaid. If we can afford it, I want to take care of as many people as possible who are unable to care for themselves. I just think it is important that we implement reforms to save enough money so that Medicaid does not cost us any more than we are currently paying.


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