5-Slide Series – Page 14 – The Menges Group

Progression of Medicaid Spending from 2012-2016

The March edition tabulates the progression in Medicaid spending from 2012 – 2016, nationwide and with subtotals for states that did and didn’t adopt Medicaid expansion. One key statistic from this edition is that capitation rose from 25.7% of all…

Mar. 4, 2017 Download 5 slide

KEYWORDS:Expenditures, Medicaid

Progression of Health Spending in USA Across 2006-2016: Overall, Medicaid, Medicare and Private Sector

The February edition tabulates overall health care expenditures from 2006-2016, and shows the progression of Medicaid, Medicare, and private health spending. A key observation from these tabulations is that health costs haven’t grown all that rapidly across the past decade…

Feb. 4, 2017 Download 5 slide

KEYWORDS:Expenditures, Medicaid, Medicare

Medicaid Prescription Drug Use and Spending by Price Category, 2013 – 2016

The January edition tabulates the distribution of Medicaid pharmacy costs by unit price cohort. Explosive growth in the share of Medicaid prescriptions among drugs costing more than $1,000 per prescription (pre-rebate) continues to occur. These drugs now represent 40% of…

Jan. 4, 2017 Download 5 slide

KEYWORDS:Expenditures, Medicaid, Prescription Drugs

Medicaid Prescription Drug Volume and Cost Trends Q1 2015- Q2 2016

The December Edition of the Series tabulates nationwide Medicaid prescription drug information from the beginning of 2015 through mid-2016. Some of the key findings are that Medicaid MCOs now pay for more than two-thirds of all Medicaid prescriptions, and that…

Dec. 4, 2016 Download 5 slide

KEYWORDS:Expenditures, Medicaid, Prescription Drugs

Correctional Health: State Prison Inmate Health Costs and Strategies to Improve Re-entry

Volume #42 of our Series identifies the number of state prison inmates in each Medicaid expansion state, and describes opportunities to deliver community re-entry care coordination support.

Nov. 4, 2016 Download 5 slide

KEYWORDS:Expansion, Expenditures, Medicaid, Policy

Price Progression of Largest Dollar Volume Medicaid Prescription Drugs

Our October edition focuses on prescription drugs, tracking Medicaid’s nationwide unit price progression from 2013-2016 for each of the 25 NDCs generating the largest Medicaid expenditures. The average annual price increases across these 25 drugs was 10% (mean) and 8%…

Oct. 4, 2016 Download 5 slide

KEYWORDS:Medicaid, Prescription Drugs

Current Medicare Advantage Enrollment Penetration: State and County-Level Tabulations

As of September 2016, 32% of Medicare beneficiaries were enrolled in a Medicare Advantage health plan. This edition produces MCO penetration statistics for each state and provides some county level tabulations. For example, in 137 counties Medicare health plans currently…

Sep. 1, 2016 Download 5 slide

KEYWORDS:Enrollment, Medicare

MCO Procurements: Medicaid Agency Best Practices and Not-So-Best Practices

This edition discusses – with some input from the Health Policy Cows – some do’s and don’ts for states in implementing Medicaid MCO procurements.

Aug. 4, 2016 Download 5 slide

KEYWORDS:Medicaid, Policy, Procurement

Prescription Drug Spending in State Medicaid Programs, Employee Health Plans, and State Prisons

This month’s edition investigates prescription drug spending in all 50 states across three major state health care payers: Medicaid, state employee health plans, and in state prisons. By comparing these expenditures to total health care spending and overall spending in…

May. 1, 2016 Download 5 slide

KEYWORDS:Expenditures, Medicaid, Policy, Prescription Drugs

Removing the Medicare Advantage Program’s Key Disadvantages & Guidance From the Health Policy Cows

The health policy cows are back for April’s report, which presents data and opinions regarding the need to pilot-test implementing managed care in the Medicare arena in a similar manner as typically occurs in Medicaid -- mandatory enrollment of beneficiaries…

Apr. 8, 2016 Download 5 slide

KEYWORDS:Enrollment, Medicaid, Medicare, Policy

5 Slide Series