Medicaid Expansion Impact

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On Un-Insured Rates [2013-14]




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3 Responses

  1. Coverage Rate for Homeless Rose to 67% in Medicaid Expansion States

    Kaiser Family Foundation recently conducted a study on the impact of the Affordable Care Act Medicaid expansion on Health Care for the Homeless (HCH) projects. Here are some key findings from the report:

    • In Medicaid expansion states, the coverage rate for the homeless rose from 45% in 2012 to 67% in 2014.
    • The coverage rate increased from 26% to 30% in non-expansion states.
    • In expansion states, total revenues for HCH projects in 2014 were 7% higher than total revenues in 2013.
    • Revenues for HCH projects in non-expansion states increased by 2%.
    • Third party payments increased to 43% of funding for HCH projects in expansion states.
    • Half (49%) of total revenue for HCH projects in expansion states came from grants in 2014.

    Source: Kaiser Family Foundation, March 15, 2016


  2. Medicaid Enrollment Increased 25% From 2014-2015

    Milliman recently released a financial analysis of Medicaid risk-based managed care organizations in 2015. Here are some key findings from the report:

    • 39 states use a risk-based managed care model for Medicaid beneficiaries.
    • The growth in Medicaid enrollment from 2011-2015 was 70% and revenue increased by 130%.
    • 85.4% was the average medical loss ratio for MCOs with over $144 billion Medicaid revenue in 2015.
    • The UW ratio in 2015 represents an underwriting gain of $3.7 billion in relation to $144.1 billion revenue.
    • Revenue growth from 2014-2015 was over 30% with an increase of over 25% in enrollment.
    • 8 states reported an underwriting loss for 2015, versus 10 states in 2014.

    Milliman, June 7, 2016


  3. The Ethics of Adjusting Your Assets to Qualify for Medicaid

    At any given moment, there is a large group of citizens who want nothing more than to make absolutely certain that they are impoverished enough to qualify for Medicaid sooner rather than later.

    Someday, you might be one of them.



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