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Tag: Expenditures

Medicaid Prescription Drug Benefit Management: Performance Comparison Across Different State Policy Approaches

States that employ Medicaid managed care organizations (MCOs) to pay for prescription drugs outperform states that rely on the fee-for-service (FFS) setting to control drug costs. Despite larger rebates in FFS, MCOs’ effective strategies to encourage...

Mar. 1, 2022 Download Full Report

ADDITIONAL RESOURCES:

Executive Summary

KEYWORDS:Expenditures, Medicaid, Prescription Drugs

Medicaid Spending by State During Fiscal Year 2020

This edition of our 5 Slide Series examines state Medicaid spending during Federal Fiscal Year 2020. Using expenditure reports from CMS, we calculated the share of each state’s Medicaid spending that occurred via capitation. Capitation represented the majority (52.6%) of…

Oct. 18, 2021 Download 5 slide

KEYWORDS:Expenditures, Medicaid

Assessment of Common Core Formulary Impacts on Virginia Medicaid Managed Care Drug Spending

Virginia began implementing a Common Core Formulary within its Medicaid managed care program in 2017 for CCC Plus members and in 2018 for Medallion 4.0 members. The Virginia Association of Health Plans (VAHP) engaged The Menges Group to analyze the…

Jan. 14, 2020 Download Full Report

KEYWORDS:Expenditures, Medicaid, Prescription Drugs

MCO Marketing Spending Across Product Types

The June 2019 Edition was produced by Manisha Gupta and Mohammed Hamdan. It focuses on the level of marketing spending in the MCO industry, comparing the Medicaid, Medicare, and commercial sectors. On average, we found that Medicaid MCOs used 0.19%…

Jun. 1, 2019 Download 5 slide

KEYWORDS:Expenditures, Medicaid, Medicare

An Analysis of Medicare Part D and Medicaid Prescription Drugs

This month’s edition analyzes and compares prescription volume and drug costs in the Medicaid and Medicare Part D programs. We tabulated pre-rebate cost per prescription for each program from 2013-2017. We also analyzed trends in specialty drug volume and expenditures…

Mar. 1, 2019 Download 5 slide

KEYWORDS:Expenditures, Medicaid, Medicare, Prescription Drugs

CY2018 Tax Estimates for the Average U.S. Family

This edition presents our tabulations on an “average family’s” federal, state and local taxes for CY2018 and how their tax contributions are spent.

Dec. 1, 2018 Download 5 slide

KEYWORDS:Expenditures, Medicaid, Medicare, Policy

New York Medicaid Prescription Drug Expenditure Trends

The Menges Group was asked to update an analysis of New York’s Medicaid prescription drug expenditure growth over the past several state fiscal years (SFY). Based on our analysis of year-over-year trends since SFY2014, we anticipate that single-digit annual growth…

Nov. 5, 2018 Download Full Report

KEYWORDS:Expenditures, Medicaid, Prescription Drugs

Disproportionate Share Hospital (DSH) Payment Trends in Medicaid Expansion vs. Non-Expansion States

The August edition quantifies Medicaid DSH payments, showing the progression of DSH spending in each state from 2013-2017. The key takeaway is that Medicaid DSH has not dropped at all across the expansion states since 2013, even though this was…

Aug. 1, 2018 Download 5 slide

KEYWORDS:Expansion, Expenditures, Medicaid

Use of Capitation Contracting in Medicaid: State-by-State Overview as of 2016

The November 2017 edition looks state-by-state at the degree to which its 2016 Medicaid expenditures were capitated. Nationally, capitation payments represented 48.9% of FFY2016 Medicaid expenditures. This figure was 27% as of 2010. It is highly likely that we have…

Nov. 11, 2017 Download 5 slide

KEYWORDS:Expenditures, Medicaid

Medicare Per Capita Cost Variation by Sate, 2015

The July 2017 edition tabulates Medicare’s per capita costs in each state and U.S. territory, showing the level of cost variation that exists between jurisdictions. These figures are from 2015 and represent costs in the fee-for-service setting for Part A…

Jul. 1, 2017 Download 5 slide

KEYWORDS:Expenditures, Medicare