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Structural Racism and Chronic Underfunding of Medicaid

In a new white paper, America’s Essential Hospitals discusses the chronic underfunding of Medicaid as a form of structural racism and provides recommendations to ensure the program is an effective tool to improve equity.

Racial health inequities experienced by Medicaid beneficiaries have been perpetuated by chronic underfunding of Medicaid. However, the program can be an effective tool to address these inequities as it serves a disproportionate number of people of color.

In the white paper, the association recommends making investments that will directly impact care for people of color in the Medicaid program by increasing access to care and funding equity-related initiatives. Other recommendations include enforcing the equal access requirement, higher medical assistance percentages, and eliminating Medicaid disproportionate share hospital payment cuts.

Structural Racism and Chronic Underfunding of Medicaid

This white paper is the first in a series highlighting ways the Medicaid program can be leveraged to address health inequities in the United States.

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About the Author

Julie Kozminski is a senior policy analyst at America's Essential Hospitals.

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