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are’s retrospective payment system ? Medicare’s prospective payment system ? Diagnosis related groups ? Resourcebased relative value scale system ? Medicare Managed Care 1012 Medicare: Impacts on Spending and Health ? Expenditures on health care for the elderly ? Health outes 1013 Medicaid: Overview ? Medicaid ? State Children’s Health Insurance Program 1014 F i g u r e 1 0 . 4 : M e d i c a i d e x p e n d i t u r e s ( 1 9 6 6 2 0 0 4 )0501001502002503003501966 1968 1970 1972 1974 1976 1978 1980 1982 1984 1986 1988 1990 1992 1994 1996 1998 2022 2022 2022Y e a rReal Expenditures (2004 $ Billions)00 . 511 . 522 . 53Expenditures as % GDPE x p e n d i t u r e s ( B i l l i o n s $ ) E x p e n d i t u r e s a s % G D PSOURCE: Centers for Medicare and Medicaid Services [2022a]. 1015 Financing and Administration ? Joint FederalState financing ?