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Tag: Medicaid

Collective Financial Performance of Medicaid Health Plans: State-Level Analyses

The October 2017 edition summarizes an analysis of Medicaid MCO financial performance of Medicaid MCOs in each state, showing the degree to which the health plans are collectively experiencing gains or losses. During 2015 and 2016, about two-thirds of states…

Oct. 25, 2017 Download 5 slide

KEYWORDS:Financial Performance, Medicaid

Optimizing Medicaid Managed Care: Insights from Various Musicians

The September edition provides suggestions for making Medicaid managed care optimally effective.

Sep. 21, 2017 Download 5 slide

KEYWORDS:Medicaid

Financial Performance of Medicaid-Focused Plans Across Past Several Years

The August edition tabulates information from the Medicaid MCO financial statements we collect and compile, showing the overall profitability among plans whose revenue is primarily (and often entirely) obtained through serving Medicaid populations.

Aug. 10, 2017 Download 5 slide

KEYWORDS:Financial Performance, Medicaid

Preserving Medicaid and Reducing the Program’s Spending

The June edition raises concerns with how Medicaid policymaking is currently being approached and debated. We identify specific areas where excess costs exist in the program and where considerable savings can be achieved without diminishing Medicaid’s current coverage levels.

Jun. 4, 2017 Download 5 slide

KEYWORDS:Expenditures, Medicaid, Policy

MCOs’ Growing Role in the Medicaid Pharmacy Arena: Trends from 2013-2016

The May edition conveys the rapidly growing percentage of Medicaid prescriptions paid by managed care organizations (MCOs), and shows this progression in each state from 2013 through 2016

May. 4, 2017 Download 5 slide

KEYWORDS:Medicaid, Prescription Drugs

Medicaid MCO Financial Performance Overview 2015

The April edition provides Medicaid MCO financial performance statistics for 2015 – a compilation of 199 MCO financial statements. Collectively the industry earned a 2.4% operating margin on Medicaid business during 2015 with 71% of the MCOs achieving a positive…

Apr. 4, 2017 Download 5 slide

KEYWORDS:Financial Performance, Medicaid

Progression of Medicaid Spending from 2012-2016

The March edition tabulates the progression in Medicaid spending from 2012 – 2016, nationwide and with subtotals for states that did and didn’t adopt Medicaid expansion. One key statistic from this edition is that capitation rose from 25.7% of all…

Mar. 4, 2017 Download 5 slide

KEYWORDS:Expenditures, Medicaid

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