Publications – Page 3 – The Menges Group

Assessment of Louisiana Medicaid’s Prescription Drug Management Performance and Preferred Drug List Policy Options

Legislation has been proposed in Louisiana to take the Medicaid preferred drug list (PDL) content responsibility away from the MCOs and shift it to a single state-determined PDL. The Menges Group assessed the impact of this policy option and estimated…

May. 16, 2018 Download Full Report

ADDITIONAL RESOURCES:

Executive Summary

KEYWORDS:Medicaid, Policy, Prescription Drugs

Assessment of Louisiana Medicaid’s Prescription Drug Carve-Out Option

Currently, Louisiana includes (carves in) the pharmacy benefit in its capitated contracts with Medicaid MCOs. During FFY2017, Louisiana had the nation’s most favorable Medicaid generic dispensing rate at 90.9% and the nation’s 8th best (lowest) cost per prescription. The Menges…

May. 15, 2018 Download Full Report

ADDITIONAL RESOURCES:

Executive Summary

KEYWORDS:Medicaid, Pharmacy Carve Out, Policy, Prescription Drugs

Assessment of Medicaid MCO Preferred Drug Policy Options in Louisiana

Over 90 percent of Louisiana’s Medicaid prescriptions are paid for by MCOs. The Louisiana Association of Health Plans engaged us to assess the impacts of a potential policy change to take the preferred drug list (PDL) content responsibility away from…

Apr. 5, 2016 Download Full Report

KEYWORDS:Medicaid, Policy, Prescription Drugs

Assessment of Medicaid Reform Options Prepared for Alaska Legislative Budget and Audit Committee

The Legislative Budget and Audit Committee of Alaska sought information and analyses with regard to other states’ experiences with Medicaid reform and expansion initiatives. This report describes opportunities for Medicaid savings and to reduce pharmacy costs. As well as recommendations…

Apr. 1, 2016 Download Full Report

KEYWORDS:Medicaid, Policy

Assessment of Medicaid MCO Preferred Drug List Management Impacts (Texas)

The Texas Association of Health Plans engaged The Menges Group to prepare an analysis of the impacts of switching from a statewide uniform Medicaid prescription formulary to a model that allows Medicaid MCOs flexibility to develop their own preferred drug…

Feb. 1, 2016 Download Full Report

ADDITIONAL RESOURCES:

Executive Summary

KEYWORDS:Medicaid, Prescription Drugs

Projected Savings of Medicaid Capitated Care: National and State-by-State

We were asked by the Association for Community Affiliated Plans (ACAP) to estimate the Medicaid savings created by the capitated coordinated care model. The report estimates the savings each state is achieving with its existing capitation program, as well as…

Nov. 12, 2015 Download Full Report

ADDITIONAL RESOURCES:

Press Release

KEYWORDS:Expenditures, Medicaid

Comparison of Medicaid Pharmacy Costs and Usage in Carve-In Versus Carve-Out States

This study examined 35 states and DC that used the Managed Care Organization (MCO) model in their Medicaid program and either included (carved-in) or excluded (carved-out) pharmacy benefits from coverage. The report found that carve-in states outperform carve-out states by…

Apr. 16, 2015 Download Full Report

KEYWORDS:Medicaid, Pharmacy Carve Out, Policy, Prescription Drugs

Prescription Drug Adherence in Medicaid Managed Care

Prescriptions for a Healthy America (P4HA) released a report by the Menges Group examining how Medicaid Managed Care Organizations (MCOs) are combatting prescription drug nonadherence. The report highlights the efforts of several Medicaid plans and their best practices for improving…

Oct. 29, 2014 Download Full Report

ADDITIONAL RESOURCES:

Press Release

KEYWORDS:Prescription Drugs

Analyses of NCQA Quality Ratings Among Medicaid Health Plans

This report assesses Medicaid MCO quality scores as published annually by NCQA. One of the report’s key findings is that there does not appear to be any relationship between Medicaid MCOs’ enrollment levels and their quality scores. Another is that…

Mar. 24, 2014 Download Full Report

KEYWORDS:Enrollment, Quality

State Policies Regarding Medicaid MCO Preferred Drug Lists

The Association for Community Affiliated Plans (ACAP) enlisted The Menges Group to prepare a report on the ways in which state Medicaid agencies have opted to regulate Medicaid MCO PDL content. Most states afford MCOs wide latitude in establishing their…

Mar. 11, 2014 Download Full Report

KEYWORDS:Policy, Prescription Drugs