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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 presents tabulations on COVID-19 as a percentage of the population and shows the proportion of each state’s population comprised of Medicare beneficiaries (given the impact of the virus for elderly persons).

This edition of the 5-Slide Series explores how the insurance landscape has changed across four decades spanning 1980—2020 We contrasted Medicaid and Medicare enrollment trends with growth in the overall population of the United States.

The September and October editions of our 5 Slide Series provides our tabulations and analysis of the NCQA Quality Ratings for Medicaid MCOs (September edition) and Medicare MCOs (October edition) in Rating Year 2019-2020. We looked at the national distribution of MCO ratings, calculated average ratings for large multi-state chain MCOs, and reported the highest rated plan in each state (or plans if there was a tie).

The September and October editions of our 5 Slide Series provides our tabulations and analysis of the NCQA Quality Ratings for Medicaid MCOs (September edition) and Medicare MCOs (October edition) in Rating Year 2019-2020. We looked at the national distribution of MCO ratings, calculated average ratings for large multi-state chain MCOs, and reported the highest rated plan in each state (or plans if there was a tie).

The August 2019 edition was produced by Grace Williams and summarizes our analyses of NCQA’s most recent quality ratings for commercial/private MCOs. Kaiser Permanente led the multi-state MCOs with a stellar 4.28 average rating, scoring over half a point higher than the 2nd place MCO and scoring more than ¾ of a point higher than the national average.

This edition focuses on the health care companies on the current Fortune 500 list.

The June 2019 Edition was produced by Manisha Gupta and Mohammed Hamdan. It focuses on the level of marketing spending in the MCO industry, comparing the Medicaid, Medicare, and commercial sectors. On average, we found that Medicaid MCOs used 0.19% of their revenues on marketing, advertising, and commissions. These percentages were much higher among Medicare-dominant MCOs (2.26%) and commercial MCOs (3.43%).

The May edition outlines a pilot program we encourage Medicare policymakers to adopt. It involves testing Medicaid’s key design features in the Medicare arena, which if successful could evolve into a fundamental transformation of Medicare as has occurred with Medicaid (whose transformation also began with pilot testing of this approach). We will be releasing a full paper on this framework with a couple months.

This edition describes a Pop-Up Clinic founded and led by one of our employees, Nehath Sheriff. This type of construct could be a low-cost, high-value option to consider for organizations seeking to “meet underserved subgroups where they are.”

This month’s edition analyzes and compares prescription volume and drug costs in the Medicaid and Medicare Part D programs. We tabulated pre-rebate cost per prescription for each program from 2013-2017. We also analyzed trends in specialty drug volume and expenditures during the same time period for each program.

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