5-Slide Series Archive - Page 16 of 18

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

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;…

Jul. 24, 2015 Download 5 slide

KEYWORDS:Expenditures, Medicaid, Prescription Drugs

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…

Jun. 16, 2015 Download 5 slide

KEYWORDS:Medicaid, Pharmacy Carve Out, Prescription Drugs

Specialty Pharmacy’s Growing Role in Medicaid

The May 2015 edition portrays the distribution of all Medicaid prescriptions by their unit cost corridor. These slides quantify the rapid growth in Medicaid prescriptions with a cost per prescription above $1,000. The high-cost medications in this corridor represented 1.3%…

May. 29, 2015 Download 5 slide

KEYWORDS:Expenditures, Medicaid, Prescription Drugs

Medicaid Data on Sovaldi, Harvoni and Kalydeco

The April 2015 edition presents recent nationwide and state-level data on Sovalidi usage. These slides also convey recent usage of a related Hepatitis C medication (Harvoni) as well as a specialty pharmacy drug, Kalydeco, in a completely different clinical area…

Apr. 30, 2015 Download 5 slide

KEYWORDS:Medicaid, Prescription Drugs

Medicaid Pharmacy Rebates

This report summarizes Medicaid’s pharmacy costs during 2013 and 2014 and demonstrates the importance of viewing these expenditures on a net, post-rebate basis. Rebates accounted for 48.5% of the initial amount paid to pharmacies for Medicaid prescriptions during 2014, for…

Mar. 31, 2015 Download 5 slide

KEYWORDS:Expenditures, Medicaid, Prescription Drugs

ACO Evaluation Reporting To Date

This edition focuses on the reporting of ACO Evaluation results by CMS.

Feb. 17, 2015 Download 5 slide

KEYWORDS:Medicare

Honoring Accountability in Medicaid and Medicare

This edition of our Five Slide Series is focused on honoring accountability in Medicare and Medicaid -- where it is being achieved and where it isn't.

Jan. 30, 2015 Download 5 slide

KEYWORDS:Medicaid, Medicare

5 Slide Series