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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.

Publicly Traded Health Insurance Companies: Financial Performance Across 2012-2015

This month’s edition aggregates the financial performance of the nine largest US health insurers and presents these companies’ revenues, expenses, taxes, and net income from 2012 to 2015. This comparison reveals substantial growth in the health insurance industry with consistent…
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Share of Prescriptions by State and Major Payer

The February report pieces together different data on prescription volume by state – mostly through our staff’s tabulations – showing the distribution of each state’s total 2015 prescriptions between those paid by Medicaid, Medicare Part D, and all other payer…
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Medicaid Pharmacy Costs and Usage Trends

This edition provides data on Medicaid prescription drug usage and costs and trends from 2013 to 2015. Each data table shows national totals and subtotals for three groups of states: non-expansion states, initial Medicaid expansion states (those implementing Medicaid expansion…
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Medicaid MCO-Provider Price Negotiations

This edition encourages states to ascertain (and fix) situations where providers are securing prices far above Medicaid fee-for-service by way of a leveraged negotiation outcome with the Medicaid health plans in their market area. This dynamic, in our view, is…
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Progression of Medicaid Costs and Usage of Selected Hepatitis C Medications: Sovaldi, Harvoni, and ViekiraPak

For the November edition of the Five Slide Series we tabluated the costs and usage of three prevalent Hepatitis C medications - Sovaldi, Harvoni, and Viekira Pak. These drugs have all been introduced within the last 2 years and have…
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Medicaid Expansion – Enrollment Stream From January 2014 Forward

This October edition of the Five Slide Series quantifies the monthly influx of the Medicaid expansion population through March of 2015. Expansion enrollment increased throughout the 15 month period in 14 of the 15 states reviewed.
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Use of Medicaid MCO Capitation by State – Projections for 2016

This September edition of the Five Slide Series is a set of projections of the degree to which each state’s Medicaid program will be “capitated” in 2016. Nationally and in several states, substantial movement to the capitated model has occurred…
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Health Policy Sacred Cows: Research Findings from the Mainstream Cow Community

This August issue of the Five Slide Series challenges some “sacred cows” in health policy. The format is a bit unusual – we hope you enjoy reading it and that the content is useful.
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Medicaid Cost Per Prescription Differences Between States

We tabulated the cost per prescription for FFY 2014 using a 100% sample of Medicaid-paid prescriptions in each state. Medicaid's national average net (post-rebate) cost per prescription was $37 in 2014. Initial (pre-rebate) payments to pharmacies averaged $72 per prescription;…
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Medicaid Pharmacy Carve-In and Carve-Out Dynamics

The June 2015 edition summarizes a full report we prepared in April, sponsored by America's Health Insurance Plans. We believe this report, "Comparison of Medicaid Pharmacy Costs and Usage in Carve-In Versus Carve-Out States," compellingly demonstrates the cost-effectiveness of using…
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