5-Slide Series
This edition of the 5-Slide Series examines CY 2010 national Medicaid expenditures in the institutional setting. Nursing Homes, ICF/MR, and Mental Health Facilities collectively represented about one-fifth of national Medicaid expenditures. Dual eligibles accounted for 88% of nationwide Medicaid nursing home spending and 37% of all FY2010 Medicaid spending.
5-Slide Series
This edition of our 5-slide series examines Medicaid per capita costs for individuals with disabilities and provides recommendations for how to manage this population. 22.1% of nationwide spending for disabled non-duals was paid via capitation during 2010 (versus 50.2% for TANF). The disabled subgroup has many attributes that are more conducive to use of care coordination than TANF, including a high prevalence of chronic conditions and relatively stable and lasting Medicaid eligibility. The ideal approach adopts an individually tailored “whole person” focus that can address multiple health conditions and flexibly accommodate differing life circumstances.
5-Slide Series
This edition of our 5-slide series portrays dual eligible demographics, showing the number of duals in each state broken out between full duals and partial duals. We also show the percentage mix of duals in each state by gender and by age (65+ vs. under-65), and the rate of increase in the number of duals in each state between 2005 and 2010.
5-Slide Series
This edition provides demographic and cost information in children in foster care state by state along with nationwide totals. On average during 2010, 885,000 foster children were covered by Medicaid. Average Medicaid costs per foster child were $6,476 in 2010, ranging from a low of $3,217 in Washington State to a high of $20,084 in Vermont. Eighteen percent of national Medicaid spending on foster children was paid via capitation to health plans during 2010.
5-Slide Series
This edition of the 5-Slide Series presents the evolution of the capitation model in Medicaid.
Publication
This study explores how more efficient pharmacy benefits management—apart from drug manufacturer rebates—could save Medicaid an additional $74.4 billion over the next decade. These savings opportunities are compelling as the federal government and states strive to protect benefits and prepare for the Medicaid expansion authorized by the Affordable Care Act starting in 2014.
