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Tag: Expenditures

Progression of Health Spending in USA Across 2006-2016: Overall, Medicaid, Medicare and Private Sector

The February edition tabulates overall health care expenditures from 2006-2016, and shows the progression of Medicaid, Medicare, and private health spending. A key observation from these tabulations is that health costs haven’t grown all that rapidly across the past decade…

Feb. 4, 2017 Download 5 slide

KEYWORDS:Expenditures, Medicaid, Medicare

Medicaid Prescription Drug Use and Spending by Price Category, 2013 – 2016

The January edition tabulates the distribution of Medicaid pharmacy costs by unit price cohort. Explosive growth in the share of Medicaid prescriptions among drugs costing more than $1,000 per prescription (pre-rebate) continues to occur. These drugs now represent 40% of…

Jan. 4, 2017 Download 5 slide

KEYWORDS:Expenditures, Medicaid, Prescription Drugs

Medicaid Prescription Drug Volume and Cost Trends Q1 2015- Q2 2016

The December Edition of the Series tabulates nationwide Medicaid prescription drug information from the beginning of 2015 through mid-2016. Some of the key findings are that Medicaid MCOs now pay for more than two-thirds of all Medicaid prescriptions, and that…

Dec. 4, 2016 Download 5 slide

KEYWORDS:Expenditures, Medicaid, Prescription Drugs

Correctional Health: State Prison Inmate Health Costs and Strategies to Improve Re-entry

Volume #42 of our Series identifies the number of state prison inmates in each Medicaid expansion state, and describes opportunities to deliver community re-entry care coordination support.

Nov. 4, 2016 Download 5 slide

KEYWORDS:Expansion, Expenditures, Medicaid, Policy

Prescription Drug Spending in State Medicaid Programs, Employee Health Plans, and State Prisons

This month’s edition investigates prescription drug spending in all 50 states across three major state health care payers: Medicaid, state employee health plans, and in state prisons. By comparing these expenditures to total health care spending and overall spending in…

May. 1, 2016 Download 5 slide

KEYWORDS:Expenditures, Medicaid, Policy, Prescription Drugs

Medicaid Pharmacy Costs and Usage Trends

This edition provides data on Medicaid prescription drug usage and costs and trends from 2013 to 2015. Each data table shows national totals and subtotals for three groups of states: non-expansion states, initial Medicaid expansion states (those implementing Medicaid expansion…

Jan. 1, 2016 Download 5 slide

KEYWORDS:Expansion, Expenditures, 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

Progression of Medicaid Costs and Usage of Selected Hepatitis C Medications: Sovaldi, Harvoni, and ViekiraPak

For the November edition of the Five Slide Series we tabluated the costs and usage of three prevalent Hepatitis C medications - Sovaldi, Harvoni, and Viekira Pak. These drugs have all been introduced within the last 2 years and have…

Nov. 1, 2015 Download 5 slide

KEYWORDS:Expenditures, Medicaid, Prescription Drugs

Use of Medicaid MCO Capitation by State – Projections for 2016

This September edition of the Five Slide Series is a set of projections of the degree to which each state’s Medicaid program will be “capitated” in 2016. Nationally and in several states, substantial movement to the capitated model has occurred…

Sep. 30, 2015 Download 5 slide

KEYWORDS:Expenditures, Medicaid

Medicaid Cost Per Prescription Differences Between States

We tabulated the cost per prescription for FFY 2014 using a 100% sample of Medicaid-paid prescriptions in each state. Medicaid's national average net (post-rebate) cost per prescription was $37 in 2014. Initial (pre-rebate) payments to pharmacies averaged $72 per prescription;…

Jul. 24, 2015 Download 5 slide

KEYWORDS:Expenditures, Medicaid, Prescription Drugs