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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.

Disproportionate Share Hospital (DSH) Payment Trends in Medicaid Expansion vs. Non-Expansion States

The August edition quantifies Medicaid DSH payments, showing the progression of DSH spending in each state from 2013-2017. The key takeaway is that Medicaid DSH has not dropped at all across the expansion states since 2013, even though this was…
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Medicaid MCO Profitability, 2016-2017

Our July 2018 edition conveys summary data regarding the Medicaid MCO industry’s overall financial performance during CY2016 and CY2017.
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Georgia Medicaid MCO Profile Report, 2016-2017

Our June 2018 edition summarizes the recent financial performance and quality performance for Georgia’s health plans, as an example of the information we often provide our clients using these datasets.
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Hepatitis C Medication Market Share

The March 2018 edition of our 5 Slide Series tracks the national Medicaid market share and pre-rebate cost per prescription progression of curative Hepatitis C drugs from CY2014 through CY2017. The introduction of newer, lower cost-per-unit drugs has resulted in…
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The Health Care Fortune 500

This edition focuses on the 46 health care companies on the current Fortune 500 list, conveying their ranking in CY2016 revenues and profits, and their percentage profit margins. During CY2000, no health care companies were in Fortune’s top 25 –…
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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…
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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.
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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…
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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…
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Optimizing Medicaid Managed Care: Insights from Various Musicians

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