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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.

This edition of our 5-slide series examines Medicaid per capita costs for individuals with disabilities and provides recommendations for how to manage this population. 22.1% of nationwide spending for disabled non-duals was paid via capitation during 2010 (versus 50.2% for TANF). The disabled subgroup has many attributes that are more conducive to use of care coordination than TANF, including a high prevalence of chronic conditions and relatively stable and lasting Medicaid eligibility. The ideal approach adopts an individually tailored “whole person” focus that can address multiple health conditions and flexibly accommodate differing life circumstances.

This edition of our 5-slide series portrays dual eligible demographics, showing the number of duals in each state broken out between full duals and partial duals. We also show the percentage mix of duals in each state by gender and by age (65+ vs. under-65), and the rate of increase in the number of duals in each state between 2005 and 2010.

This edition provides demographic and cost information in children in foster care state by state along with nationwide totals. On average during 2010, 885,000 foster children were covered by Medicaid. Average Medicaid costs per foster child were $6,476 in 2010, ranging from a low of $3,217 in Washington State to a high of $20,084 in Vermont. Eighteen percent of national Medicaid spending on foster children was paid via capitation to health plans during 2010.

This edition summarizes Medicare Advantage (and overall Medicare) demographic information.  The report also quantifies enrollment and penetration dynamics between urban and rural counties.  Statistics are provided on the distribution of the Medicare beneficiary population and the Medicare Advantage enrollee population by county population size and by each county’s urban/rural rating (per the Department of Agriculture).

This edition of the 5-Slide Series presents the evolution of the capitation model in Medicaid.

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