The December edition addresses some aspects of how quality data are reported and are used in performance-based payment structures.
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 into a small number of competitively selected MCOs.
- Keywords: Enrollment Medicaid Medicare Policy
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 sources combined. There was considerable variation in this percentage distribution in each state.
- Keywords: Medicaid Medicare Prescription Drugs
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.
- Keywords: Expansion Expenditures Medicaid
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. However, a correlation exists between the degree to which state governments are collectively under Democrat political control and relatively high percentage increases in Medicaid program costs. On a PMPM basis, data indicate an annual average cost increase from 2003-2010 very close to 5.0% for each of three major eligibility groups – children, adults (non-disabled, non-duals), and blind disabled (non-duals).
- Keywords: Expenditures Medicaid
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 the Medicaid MCOs by how their quality scores compares with the average of the other NCQA-ranked MCOs in their state.
This edition conveys some of our perspectives related to the current reinstatement of Medicaid redeterminations. This is an important time period to capture (and share) detailed information on how Medicaid enrollees can best be successfully reached, as well as the dynamics of continuous enrollment, coverage retention and loss. We delineate several specific data points that will be valuable to collect.
- Keywords: COVID-19 Enrollment Medicaid Policy