Public policy · Louisiana Legislature
Medicaid estimates for budget decisions
An independent estimating process and more than 30 healthcare fiscal notes connecting enrollment, policy and state budget implications.
- Role
- Health Care Economist · Legislative Fiscal Office
- Role period
- Feb 2021 – Jul 2022
The decision context
Legislators needed estimates of Medicaid costs and caseloads, along with fiscal analysis of proposed healthcare legislation during the federal Public Health Emergency.
My contribution
I established independent Medicaid cost and caseload conferences, built the forecasting methodology and data infrastructure, and worked through estimates with executive-branch stakeholders.
I also produced and defended more than 30 fiscal notes covering Medicaid eligibility, provider reimbursement and medical occupational licensing.
Where the work was used
Conference estimates informed state budget appropriations. Fiscal notes and committee presentations communicated the budget implications of healthcare proposals.
I briefed legislators on enrollment, cost drivers and changes in federal funding.