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Tag: Medicaid

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

Price Progression of Largest Dollar Volume Medicaid Prescription Drugs

Our October edition focuses on prescription drugs, tracking Medicaid’s nationwide unit price progression from 2013-2016 for each of the 25 NDCs generating the largest Medicaid expenditures. The average annual price increases across these 25 drugs was 10% (mean) and 8%…

Oct. 4, 2016 Download 5 slide

KEYWORDS:Medicaid, Prescription Drugs

MCO Procurements: Medicaid Agency Best Practices and Not-So-Best Practices

This edition discusses – with some input from the Health Policy Cows – some do’s and don’ts for states in implementing Medicaid MCO procurements.

Aug. 4, 2016 Download 5 slide

KEYWORDS:Medicaid, Policy, Procurement

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

Removing the Medicare Advantage Program’s Key Disadvantages & Guidance From the Health Policy Cows

The health policy cows are back for April’s report, which presents data and opinions regarding the need to pilot-test implementing managed care in the Medicare arena in a similar manner as typically occurs in Medicaid -- mandatory enrollment of beneficiaries…

Apr. 8, 2016 Download 5 slide

KEYWORDS:Enrollment, Medicaid, Medicare, Policy

Assessment of Medicaid MCO Preferred Drug Policy Options in Louisiana

Over 90 percent of Louisiana’s Medicaid prescriptions are paid for by MCOs. The Louisiana Association of Health Plans engaged us to assess the impacts of a potential policy change to take the preferred drug list (PDL) content responsibility away from…

Apr. 5, 2016 Download Full Report

KEYWORDS:Medicaid, Policy, Prescription Drugs

Assessment of Medicaid Reform Options Prepared for Alaska Legislative Budget and Audit Committee

The Legislative Budget and Audit Committee of Alaska sought information and analyses with regard to other states’ experiences with Medicaid reform and expansion initiatives. This report describes opportunities for Medicaid savings and to reduce pharmacy costs. As well as recommendations…

Apr. 1, 2016 Download Full Report

KEYWORDS:Medicaid, Policy

Share of Prescriptions by State and Major Payer

The February report pieces together different data on prescription volume by state – mostly through our staff’s tabulations – showing the distribution of each state’s total 2015 prescriptions between those paid by Medicaid, Medicare Part D, and all other payer…

Feb. 2, 2016 Download 5 slide

KEYWORDS:Medicaid, Medicare, Prescription Drugs

Assessment of Medicaid MCO Preferred Drug List Management Impacts (Texas)

The Texas Association of Health Plans engaged The Menges Group to prepare an analysis of the impacts of switching from a statewide uniform Medicaid prescription formulary to a model that allows Medicaid MCOs flexibility to develop their own preferred drug…

Feb. 1, 2016 Download Full Report

ADDITIONAL RESOURCES:

Executive Summary

KEYWORDS:Medicaid, 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