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Tag: Medicaid

Medication Adherence in Medicaid

Building upon our 2014 report titled Prescription Drug Adherence in Medicaid Managed Care, this report provides updated analyses performed on medication adherence, assesses the impacts of Medicaid expansion and the COVID-19 pandemic on medication adherence, and offers recommendations for further…

Aug. 22, 2023 Download Full Report

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KEYWORDS:COVID-19, Medicaid, Policy, Prescription Drugs

Medicaid Prescription Drug Trends

This edition summarizes our tabulations of several key Medicaid prescription drug cost and usage trends across the 2018-2022 timeframe. Our findings include: • Pre-rebate costs per Medicaid prescription grew sharply, at an average annual rate of 9.7% from 2018-2022. •…

Jul. 25, 2023 Download 5 slide

KEYWORDS:Medicaid, Pharmacy Carve Out, Prescription Drugs

Medicaid Redeterminations

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…

Jul. 17, 2023 Download 5 slide

KEYWORDS:COVID-19, Enrollment, Medicaid, Policy

Medicaid Enrollment Trends

This edition focuses on the share of the overall population that receives Medicaid, and how this percentage has trended throughout the past decade nationally and state by state. Between Medicaid expansion, COVID dynamics, and some shifts in the economy’s performance,…

Apr. 26, 2023 Download 5 slide

KEYWORDS:COVID-19, Enrollment, Medicaid, Policy

Medicaid Postpartum Coverage Extension: A Review of Coverage by State and Postpartum Healthcare Utilization

This edition looks at state implementation of Medicaid postpartum coverage extension and Medicaid expansion by state. We also present rates of postpartum care utilization in the Medicaid population before and after implementation of postpartum coverage extension. As of March 2023,…

Mar. 30, 2023 Download 5 slide

KEYWORDS:Expansion, Medicaid, Policy

Addressing Gaps in Behavioral Health Treatment and Medication Use

This edition explores ways to make optimal use of available resources to help fill the extensive gaps in behavioral health care (BH) that exist in the US.

Feb. 27, 2023 Download 5 slide

KEYWORDS:Medicaid

Assessment of Medicaid Expenditure and Capitation Trends From 2011-2021

This edition looks at state-level and national Medicaid spending trends, first overall and then by the share of Medicaid spending that is paid via capitation.

Dec. 20, 2022 Download 5 slide

KEYWORDS:Expenditures, Medicaid

Trends in Medicaid Use of Capitation

This edition looks at the progression of capitation contracting in the Medicaid program at the national and state levels. As s a percentage of total Medicaid spending, capitation contracting has grown 31.1% in FFY2013 to 55.9% in FFY2021. National Medicaid…

Sep. 1, 2022 Download 5 slide

KEYWORDS:Expenditures, Medicaid

Trends in Medicaid’s Average Costs Per Prescription

This edition presents our tabulations of Medicaid pharmacy cost and price trends. Some of our key findings: Nationwide Medicaid pre-rebate costs per prescription increased at an annual average rate of 5.6% from 2012-2021, led by an 11.9% annual rate of…

Jun. 21, 2022 Download 5 slide

KEYWORDS:Expenditures, Medicaid, Prescription Drugs

Medicaid Pharmacy Usage During COVID

This edition quantifies the decrease in Medicaid prescription volume that has occurred during COVID, comparing usage during calendar years 2019, 2020, and 2021. The large decrease that has occurred – 16.4% from 2019 to 2021 on a per covered person…

May. 30, 2022 Download 5 slide

KEYWORDS:COVID-19, Medicaid, Prescription Drugs