5-Slide Series – Page 13 – The Menges Group

Medicare Special Needs Plan Participation and Enrollment Trends, 2010-2018

This edition conveys the progression of the number of Medicare Special Needs Plans (SNPs) and enrollment from December 2010 through January 2018. As of January 2018, overall SNP enrollment reached an all-time high of more than 2.5 million persons, the…

Jan. 1, 2018 Download 5 slide

KEYWORDS:Enrollment, Medicare, Special Needs Plan

Getting Out of the Stairwell in Quality Measurement and Improvement

The December edition addresses some aspects of how quality data are reported and are used in performance-based payment structures.

Dec. 14, 2017 Download 5 slide

KEYWORDS:Medicaid, Medicare, Policy, Quality

Use of Capitation Contracting in Medicaid: State-by-State Overview as of 2016

The November 2017 edition looks state-by-state at the degree to which its 2016 Medicaid expenditures were capitated. Nationally, capitation payments represented 48.9% of FFY2016 Medicaid expenditures. This figure was 27% as of 2010. It is highly likely that we have…

Nov. 11, 2017 Download 5 slide

KEYWORDS:Expenditures, Medicaid

Collective Financial Performance of Medicaid Health Plans: State-Level Analyses

The October 2017 edition summarizes an analysis of Medicaid MCO financial performance of Medicaid MCOs in each state, showing the degree to which the health plans are collectively experiencing gains or losses. During 2015 and 2016, about two-thirds of states…

Oct. 25, 2017 Download 5 slide

KEYWORDS:Financial Performance, Medicaid

Optimizing Medicaid Managed Care: Insights from Various Musicians

The September edition provides suggestions for making Medicaid managed care optimally effective.

Sep. 21, 2017 Download 5 slide

KEYWORDS:Medicaid

Financial Performance of Medicaid-Focused Plans Across Past Several Years

The August edition tabulates information from the Medicaid MCO financial statements we collect and compile, showing the overall profitability among plans whose revenue is primarily (and often entirely) obtained through serving Medicaid populations.

Aug. 10, 2017 Download 5 slide

KEYWORDS:Financial Performance, Medicaid

Medicare Per Capita Cost Variation by Sate, 2015

The July 2017 edition tabulates Medicare’s per capita costs in each state and U.S. territory, showing the level of cost variation that exists between jurisdictions. These figures are from 2015 and represent costs in the fee-for-service setting for Part A…

Jul. 1, 2017 Download 5 slide

KEYWORDS:Expenditures, Medicare

Preserving Medicaid and Reducing the Program’s Spending

The June edition raises concerns with how Medicaid policymaking is currently being approached and debated. We identify specific areas where excess costs exist in the program and where considerable savings can be achieved without diminishing Medicaid’s current coverage levels.

Jun. 4, 2017 Download 5 slide

KEYWORDS:Expenditures, Medicaid, Policy

MCOs’ Growing Role in the Medicaid Pharmacy Arena: Trends from 2013-2016

The May edition conveys the rapidly growing percentage of Medicaid prescriptions paid by managed care organizations (MCOs), and shows this progression in each state from 2013 through 2016

May. 4, 2017 Download 5 slide

KEYWORDS:Medicaid, Prescription Drugs

Medicaid MCO Financial Performance Overview 2015

The April edition provides Medicaid MCO financial performance statistics for 2015 – a compilation of 199 MCO financial statements. Collectively the industry earned a 2.4% operating margin on Medicaid business during 2015 with 71% of the MCOs achieving a positive…

Apr. 4, 2017 Download 5 slide

KEYWORDS:Financial Performance, Medicaid

5 Slide Series