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5 Slide Series

Our 5 Slide Series allows us to regularly present objective analyses and trends on issues we believe are of interest and share our findings through data tabulations and visualizations.

This edition provides an overview of the PACE model, which delivers comprehensive, community-based care for adults aged 55+ who need nursing home-level of care. As of March 2025, 184 organizations operate over 300 PACE centers in 33 states and DC, serving 82,000 participants—most of whom are dually eligible and medically complex. PACE enrollment has grown 53.1% since 2020, far outpacing the 6.3% growth in the 55+ population. Most PACE programs are operated by standalone PACE organizations, larger health systems, long-term care organizations, and FQHCs. There are opportunities for geographic and operational expansion, though barriers to scalability remain.

This edition provides information on Medicaid’s fiscal redistributional dynamics. For example, during FFY2023 Trump-won states collectively gained $16.8 billion between the amounts residents of these states contributed to Medicaid (via their Federal and state taxes) and the level of Medicaid spending that took place in their states.

The second edition of our Medicaid Unwinding and Redeterminations 5 Slide Mini-Series explores Medicaid coverage renewal outcomes across states during the unwinding period (March 2023- July 2024).

This first edition of our Medicaid Unwinding and Redeterminations 5 Slide Mini-Series provides an overview of Medicaid eligibility and enrollment trends during and after the COVID-19 public health emergency (PHE).

This edition delves into NCQA’s Medicaid health plan overall quality ratings for performance years 2022 and 2023. A key component of our analyses involved creating enrollment weighted average scores for the Medicaid health plans operating in multiple states, and similar average scores across the health plans serving Medicaid in each state.

This edition focuses on Medicaid MCO procurements, an area where our company conducts vast project work. We describe a few actions states can take to get the most value out of their procurements. We also offer some thoughts regarding how states can better overcome a protest process that seems to have become increasingly problematic.

This final edition of our summer series on Suicides, Homicides, and Gun Deaths provides weblinks to roughly 20 examples of other organizations’ work in the same topic areas.

This edition focuses on the choices all households make regarding having a gun in their home (or not).  The statistical evidence is profoundly in favor of households making a “no gun here” decision, and some of that evidence is summarized herein.  However, this objective evidence is at odds with the widespread belief that possessing a gun will make a home safer.  The remaining slides focus on how to help the evidence overcome the beliefs.

This edition quantifies death rates, and firearm death rates, by race/ethnicity, gender, and age.

This edition of our Gun Death Series focuses on homicides. Similar to suicides, the degree to which guns exist in a community are strongly correlated with the rate of homicide deaths. The states with the highest proportion of household gun ownership have a 78% higher rate of firearm homicides than the states in the lowest quartile of household gun ownership.

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