Posts Tagged ‘medicaid expansion’

Infographic: Economic Impact of the Medicaid Expansion in Michigan

February 6th, 2017 by Melanie Matthews

Economic Impact of the Medicaid Expansion in MichiganUnder its Medicaid expansion program, the Michigan state government will end up with more money than it spends, even as costs rise, according to a new infographic by the Institute for Healthcare Policy & Innovation at the University of Michigan.

The infographic looks at the impact of Michigan’s Medicaid expansion on job creation, tax revenue on increased economic activity and cost avoidance from other safety net programs.

Care Coordination of Highest-Risk Patients: Business Case for Managing Complex PopulationsAsked by its C-suite to quantify contributions of its multidisciplinary care team for its highest-risk patients, AltaMed Health Services Corporation readily identified seven key performance metrics associated with the team.

Having demonstrated the team’s bottom line impact on specialty costs, emergency room visits, and HEDIS® measures, among other areas, the largest independent federally qualified community health center (FQHC) was granted additional staff to expand care management for its safety net population.

Care Coordination of Highest-Risk Patients: Business Case for Managing Complex Populations chronicles AltaMed’s four-phase rollout of care coordination for dual eligibles—a population with higher hospitalization and utilization and care costs twice those of any other population served by AltaMed.

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Infographic: Medicaid Expansion in Pennsylvania

August 19th, 2016 by Melanie Matthews

The Medicaid expansion has made it possible for more Pennsylvanians to access healthcare than ever before, according to a new infographic released by the Pennsylvania Department of Human Services. As of April 2016, the expansion had reached 625,970 newly eligible Pennsylvanians, ages 18 to 64.

The infographic provides a demographic snapshot of the newly insured.

Care Coordination of Highest-Risk Patients: Business Case for Managing Complex PopulationsAsked by its C-suite to quantify contributions of its multidisciplinary care team for its highest-risk patients, AltaMed Health Services Corporation readily identified seven key performance metrics associated with the team.

Having demonstrated the team’s bottom line impact on specialty costs, emergency room visits, and HEDIS® measures, among other areas, the largest independent federally qualified community health center (FQHC) was granted additional staff to expand care management for its safety net population.

Care Coordination of Highest-Risk Patients: Business Case for Managing Complex Populations chronicles AltaMed’s four-phase rollout of care coordination for dual eligibles—a population with higher hospitalization and utilization and care costs twice those of any other population served by AltaMed.

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Infographic: How Will the November Election Impact Medicaid Expansion?

October 13th, 2014 by Melanie Matthews

Some of the November governors’ races could impact the number of states with Medicaid expansion programs, according to a new infographic by Families USA.

There are currently 23 states that have not chosen not to expand Medicaid. Of those, 15 have gubernatorial races in November, setting the stage for potential Medicaid expansion in 2015. The infographic looks at the governors’ races likely to have the greatest impact on whether the state expands Medicaid.

Governors' Races and Medicaid Expansion

Medicaid Expansion: Mid-Year 2014 Results Medicaid Expansion: Mid-Year 2014 Results includes enrollment statistics by state, company and county, plus details of financial results and market strategies for major Medicaid players. Packed with the latest available data, the report provides a thorough picture of how the Medicaid market is shaping up right now. Medicaid expansion continues to provide tremendous new opportunities for health plans, states and the uninsured.

Medicaid Expansion: Mid-Year 2014 Results will provide your management team with a quick, thorough and accurate reading of the results to date, and a window into the opportunities ahead.

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Infographic: The Effect of Medicaid Expansion Decisions by Southern States

July 9th, 2014 by Melanie Matthews

The decision by some Southern states to not expand Medicaid under the Affordable Care Act will keep Medicaid eligibility levels low, according to a new infographic by the Kaiser Family Foundation.

The infographic shows that Southerners are more likely than people living in other parts of the United States to be uninsured; that most Southern states have poverty rates above the national average; and details on the Medicaid coverage gaps in Southern states.

To locate, stratify and engage dual eligibles, Health Care Services Corporation (HCSC) takes a creative approach, employing everything from home visits to ‘street case management’ to coordinate care for Medicare-Medicaid beneficiaries. Dual Eligibles Care and Service Planning: Integrative Approaches for the Medicare-Medicaid Population describes HCSC’s innovative tactics to engage this largely older adult and disabled population in population health management with support from a range of community partners and services.

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Infographic: States to Watch for Medicaid Expansion 2014

February 5th, 2014 by Jackie Lyons

Medicaid enrollment is expanding, and it is affecting the healthcare industry across the nation. Still, some states are not expanding their Medicaid programs in 2014. Therefore, people in these states with limited incomes may have fewer coverage options.

This new infographic from The Pew Charitable Trusts shows which states have decided to expand, which states may expand, and which states will not expand coverage. It also includes details for states that may expand concerning the uninsured, estimated new enrollment and federal funds for expansion through 2022.

States to Watch for Medicaid Expansion 2014

 title=In addition to watching medicaid expansion in 2014, there are many other healthcare trends worth focusing on as well. Healthcare Trends & Forecasts in 2014: Performance Expectations for the Healthcare Industry, HIN’s tenth annual industry forecast, provides both a handle on what’s keeping healthcare CEOs up at night and a dream prescription for sounder program management this year. More than 130 responding healthcare organizations identify the top issues facing them today, predict the impact of 2014 ACA mandates on business, and share the best and worst business decisions of 2013 and lessons learned from both.

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Infographic: The Costs of Opting Out of the Medicaid Expansion

December 16th, 2013 by Jackie Lyons

The Affordable Care Act (ACA) allows states to expand Medicaid coverage to more low-income people and offsets this with additional federal funding to participating states. States that don’t participate in the ACA’s Medicaid expansion will lose out on billions of dollars in federal funds, according to a new infographic from The Commonwealth Fund.

Texas is opting out of Medicaid expansion, and will therefore forgo about $9.6 billion in federal Medicaid finding in 2022. This infographic shows other examples of forgoing Medicaid expansion, as well as the effects of participating in the expansion.

The Cost of Opting Out of Medicaid Expansion

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You may also be interested in this related resource: Health Insurance Exchanges: Product Design, Promotion and Positioning.

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Infographic: Broad Support for Medicaid Expansion

November 4th, 2013 by Jackie Lyons

The Affordable Care Act (ACA) provides Americans with better health security by putting in place comprehensive health insurance reforms, according to the Centers for Medicare & Medicaid Services.

Sixty-eight percent of adults favor making Medicaid available to more residents in their states, according to a new infographic from the Commonwealth Fund. This infographic also addresses states’ participation in the ACA and the attitudes of residents in states that are not expanding.

Broad Support for Medicaid Expansion

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You may also be interested in this related resource: Medicaid Compliance Strategies for Hospitals and Other Providers: How to Prepare for Federal Health Reform Mandates and State Initiatives.

Infographic: Safety Net Hospitals Will Not Be Docked in States That Don’t Expand Medicaid

July 5th, 2013 by Jackie Lyons

Instead of punishing states and safety net hospitals in those states that refuse to expand Medicaid, Medicaid funding cuts – $500 million in 2014 and $600 million in 2015 – will be allocated among states fairly evenly, according to the Pew Charitable Trusts.

Louisiana and New Hampshire are the top two states to receive the most federal dollars for their uninsured residents, according to a new infographic from Pew’s Stateline. The infographic shows the allocation of federal funding state by state in dollars per resident.

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You may also be interested in this related resource: Dual Eligibles: The New Growth Opportunities Ahead for Health Plans.

Infographic: A Downsized Medicaid Expansion

June 25th, 2013 by Melanie Matthews

Thirty-two million uninsured Americans were expected to be covered through the Affordable Care Act’s Medicaid expansion. However, as of May, only 21 states have decided to expand Medicaid and six states have not decided if they will expand.

Pew Charitable Trusts has developed an infographic that examines how many people in the United States are uninsured, their demographic status, projected cost of expanding, along with a map of each states status on Medicaid expansion.

A Downsized Medicaid Expansion

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You may also be interested in this related resource: Dual Eligibles: The New Growth Opportunities Ahead for Health Plans.

Healthcare Business Week in Review: High Cost of Smoking; 4 Healthy Habits; Expanding Medicaid

June 13th, 2013 by Cheryl Miller

The High Cost of Smoking: Smokers cost more. That’s the bottom line from a new report from Ohio State University, the first study to take a comprehensive look at the financial burden for companies that employ smokers.

According to the study, U.S. businesses pay almost $6,000 per year extra for each employee who smokes, compared to the costs for employing workers who never smoked. Broken down, researchers estimated the following:

  • Lost productivity from smoke breaks cost employers more than $3,000 a year, by far, the largest drain on resources;
  • Extra healthcare costs for self-insured smokers came to $2,056;
  • Absenteeism from smoking cost $517 a year; and
  • Presenteeism, or reduced productivity related to the effects of nicotine addition, cost $462 annually.

The study focuses solely on economics and does not address ethical and privacy issues related to the adoption of workplace policies covering employee smoking. Increasingly, businesses have adopted tobacco-related policies that include requiring smokers to pay premium surcharges for their healthcare benefits or simply refusing to hire people who identify themselves as smokers. And while researchers acknowledge that providing smoking-cessation programs is an added cost for employers, they stress that employers recognize how difficult it is to quit smoking.

4 Healthy Habits to Reduce Heart Risk, Death: More bad news for smokers: those who otherwise maintain a healthy lifestyle will die sooner than those who do not.

According to a new study from Johns Hopkins University, exercising regularly, eating a healthy Mediterranean-style diet, maintaining a normal weight and, most importantly, not smoking can help improve heart health and reduce the risk of death.

Researchers found that adopting those four lifestyle behaviors protected against coronary heart disease as well as the early buildup of calcium deposits in heart arteries, and reduced the chance of death from all causes by 80 percent over an eight-year period.

Of all the lifestyle factors, researchers found that smoking avoidance played the largest role in reducing the risk of coronary heart disease and mortality. Smokers who adopted two or more of the healthy behaviors still had lower survival rates after 7.6 years than did nonsmokers who were sedentary and obese.

The findings corroborate recent recommendations by the American Heart Association, which call for maintaining a diet rich in vegetables, fruits, nuts, whole grains and fish, keeping a Body Mass Index (BMI) of less than 25, being physically active and not smoking, researchers note.

Expanding Medicaid Best Option for States: Some bad news, or food for thought, for those policymakers not planning on expanding Medicaid in their states: they will leave millions of their residents without health insurance and increase spending, at least in the short term, on the cost of treating uninsured residents, according to a new RAND Corporation study.

If 14 states decide not to expand Medicaid under the ACA as intended by their governors, those state governments collectively will spend $1 billion more on uncompensated care in 2016 than they would if Medicaid is expanded, researchers say. In addition, those 14 state governments would forgo $8.4 billion annually in federal payments and an additional 3.6 million people will be left uninsured.

States that do not expand Medicaid will not receive the full benefit of the savings that will result from providing less uncompensated care, researchers note. But they will be subject to taxes, fees and other revenue provisions of the ACA.

Commercial Payors Lag Behind Medicare in Offering ACOs: And lastly, commercial payors aren’t offering as many upside-only payment structures that are most popular among early accountable care organizations (ACOs), according to an analysis by the Premier Healthcare Alliance.

The study of 85 payor arrangements found that more than one-third were for upside-only shared savings, most of which fall within the Medicare Shared Savings Program (MSSP) or Medicare Advantage (57 percent).

Other upside-only options were reported with Medicaid (7 percent), provider-owned plans (7 percent) and self-insured employers (7 percent).

However, upside arrangements are lacking in commercial markets. Among the ACOs analyzed, only 21 percent of commercial arrangements offer upside shared savings, and these were clustered in just four markets. In addition, agreements tended to be smaller in scope, usually for 5,000 covered lives or less.