5-Slide Series – Page 17 – The Menges Group

Assessment of 2014 Medicaid MCO Quality Rankings

This edition assesses the 2014 NCQA Medicaid MCO quality scores. Analysis includes calculation of statewide average scores for all plans, top performing MCOs relative to their state's average, comparisons by ownership (such as publicly traded versus non-publicly traded MCOs), and…

Sep. 30, 2014 Download 5 slide

KEYWORDS:Medicaid, Quality

Medicaid Eligibility Statistical Analysis and Comparisons

This edition looks at Medicaid eligibility trends, including stability in Medicaid coverage. We also find States with managed care tend to offer more stable Medicaid than FFS States.

Aug. 4, 2014 Download 5 slide

KEYWORDS:Medicaid

Combined Spending on Medicaid and Medicare by State

This edition looks at Medicaid and Medicare combined costs. Nationwide, 2009 combined claims-based spending on Medicaid and Medicare represented approximately $800 billion in overall outlays, excluding most disproportionate share (DSH) and upper payment limit (UPL) supplemental payments. These claims-based expenditures…

Jul. 31, 2014 Download 5 slide

KEYWORDS:Expenditures, Medicaid, Medicare

Eliminating Excess Costs and Redeploying Savings

These slides are health policy focused, looking at areas where significant cost savings can/should occur, and identifying at a high level ways that these savings can best be redirected to improve overall health. Some of these concepts are relevant to…

Jun. 30, 2014 Download 5 slide

KEYWORDS:Expenditures, Policy, Prescription Drugs

Medicaid Expansion: Initial Findings on Costs

This month’s edition provides data on the costs of Medicaid-covered adults and a conceptual framework for estimating the Medicaid expansion population’s emerging PMPM costs.

May. 27, 2014 Download 5 slide

KEYWORDS:Expansion, Expenditures, Medicaid

Medicaid Cost Trends

The April 2014 edition of our five slide series focuses on historical Medicaid expenditure growth. The size of annual Medicaid cost increases do not seem to be driven by fluctuations in the economy or by which party holds the presidency.…

Apr. 28, 2014 Download 5 slide

KEYWORDS:Expenditures, Medicaid

Coordinated Care- Bringing Key Components Together

This edition explores the dynamics of optimal coordinated care, in relation to governmental policies/actions and MCO operational activities. There are several combinations of ways that optimal care coordination programs are not yet being achieved. The construct described may be useful in…

Mar. 24, 2014 Download 5 slide

KEYWORDS:Medicaid, Medicare

NCQA State Averages for Medicaid, Medicare, and Private Health Plans

This edition of the Series tabulates state average NCQA quality scores across the health plans that have been rated by NCQA. Separate averages have been calculated for Medicaid health plans, Medicare plans, and private plans.

Feb. 28, 2014 Download 5 slide

KEYWORDS:Medicaid, Medicare, Quality

Medicaid Health Plan NCQA Quality Rankings

This edition of the Series focuses on Medicaid MCO quality ratings, working with the data NCQA publishes each year. These slides calculate average quality scores in each of the 33 states with at least one NCQA-ranked plan. We also ranked…

Jan. 22, 2014 Download 5 slide

KEYWORDS:Medicaid, Quality

Medicaid Costs by Service 2007-2010

This month's 5-Slide Series examines CMS' MSIS database to tabulate Medicaid costs across 18 service categories between 2007 and 2010. Capitation as a portion of total Medicaid expenditures increased 6.0 percentage points from 2007-2010. Additionally, capitation spending increased 57% from…

Dec. 28, 2013 Download 5 slide

KEYWORDS:Expenditures, Medicaid

5 Slide Series