Medicaid Expansion Impact

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On Un-Insured Rates [2013-14]




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2 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


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