Total Costs of Care and State Policy Across All Payers Medicare, - - PowerPoint PPT Presentation

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Sep 03, 2023 344 likes •416 views

Total Costs of Care and State Policy Across All Payers Medicare, Medicaid, Commercial Insured, Self Insured Goals: Per Person Costs Rates of Trend State Levers Include: Medicaid Public Employees Benefits Purchasing

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Total Costs of Care and State Policy

Across All Payers
Medicare, Medicaid, Commercial Insured, Self Insured
Goals:
Per Person Costs
Rates of Trend
State Levers Include:
Medicaid
Public Employees Benefits Purchasing
Commercial Insurer Rate Review
Provider Rate Setting
Supply Controls – CON, Health Planning
Performance Measurement
Public Health and Prevention
Transparency
Bully Pulpit

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Health Spending by State of Residence, 1991–2009 Gigi Cuckler, Anne Martin, Lekha Whittle, Stephen Heffler, Andrea Sisko, Dave Lassman, Joseph Benson; Centers for Medicare & Medicaid Services—Office of the Actuary. Medicare & Medicaid Research Review 2011: Volume 1, Number 4

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2 4 6 8 10 12 14 16 <0-3 3.1-4.0 4.1-4.5 4.6-5.0 51-5.5 5.6-6.0 6.1-6.5 6.6-7.0

Number of States

Avg Annual Growth Rate

(Personal Health: Medicare, Medicaid and Commercial) Source: CMS Office of Actuary Analysis – Cuckler et al, 2011

Personal Health Care Spending; Avg Annual Growth by State of Residence: 2004-2009

AK, NM NH NV, TN, AL, SC GA

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Factors Contributing to Higher State Healthcare Expenditures (Cuckler et al):

Personal Income
Technology
Health Care Capacity (Provider supply)
Aging Population
Chronic Illness Burden
Women of Childbearing Age
Non HMO enrollment
Insured Rate

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CMS view of future health care cost growth:

Source: Keehan et al, Health Affairs 2017