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Tag: Medicaid

Medicaid MCO Quality Tabulations: NCQA Rating Year 2019-2020

The September and October editions of our 5 Slide Series provides our tabulations and analysis of the NCQA Quality Ratings for Medicaid MCOs (September edition) and Medicare MCOs (October edition) in Rating Year 2019-2020. We looked at the national distribution…

Sep. 1, 2019 Download 5 slide

KEYWORDS:Medicaid, Quality

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

Assessment of Report on Impacts of West Virginia Medicaid Prescription Drug Carve-Out

America’s Health Insurance Plans (AHIP) engaged The Menges Group to assess West Virginia’s Medicaid pharmacy carve-out impacts, analyzing the findings of another consulting firm’s report. Our analyses suggest that West Virginia’s carve-out has created increased Medicaid expenditures rather than savings.…

Apr. 1, 2019 Download Full Report

KEYWORDS:Medicaid, Pharmacy Carve Out, Prescription Drugs

An Overview of a Pop Up Community Clinic in Redmond, WA

This edition describes a Pop-Up Clinic founded and led by one of our employees, Nehath Sheriff. This type of construct could be a low-cost, high-value option to consider for organizations seeking to “meet underserved subgroups where they are."

Apr. 1, 2019 Download 5 slide

KEYWORDS:Medicaid, Medicare, Policy

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

Unemployment Rates in Medicaid Expansion and Non-Expansion States, 2010-2017

This edition assesses whether differences exist in overall economic performance that might help explain the Medicaid enrollment trend differences that were identified in our January 2019 edition of the Series. We have presented the unemployment rate progression from 2010 to…

Feb. 1, 2019 Download 5 slide

KEYWORDS:Enrollment, Expansion, Medicaid

National Medicaid Enrollment Progression, 2014-2017

This edition tracks the national Medicaid enrollment projection from January 2014 through September 2017, showing enrollment growth dynamics between the expansion and non-expansion population, and across states that adopted Medicaid expansion versus those electing not to do so.

Jan. 7, 2019 Download 5 slide

KEYWORDS:Enrollment, Expansion, Medicaid

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

Mid-Term Election Results and Medicaid Expansion

Our November Edition of the 5 Slide Series focuses on the 2018 election results and conveys some of the potential implications of these results regarding Medicaid expansion.

Nov. 1, 2018 Download 5 slide

KEYWORDS:Expansion, Medicaid, Policy