5-Slide Series – Page 15 – The Menges Group

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

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…

Mar. 1, 2016 Download 5 slide

KEYWORDS:Financial Performance

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…

Feb. 2, 2016 Download 5 slide

KEYWORDS:Medicaid, Medicare, Prescription Drugs

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…

Jan. 1, 2016 Download 5 slide

KEYWORDS:Expansion, Expenditures, Medicaid, Prescription Drugs

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…

Dec. 1, 2015 Download 5 slide

KEYWORDS:Medicaid

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…

Nov. 1, 2015 Download 5 slide

KEYWORDS:Expenditures, Medicaid, Prescription Drugs

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.

Oct. 1, 2015 Download 5 slide

KEYWORDS:Enrollment, Expansion, Medicaid

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…

Sep. 30, 2015 Download 5 slide

KEYWORDS:Expenditures, Medicaid

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.

Aug. 31, 2015 Download 5 slide

KEYWORDS:Policy

5 Slide Series