Web Briefing: The Medicaid Managed Care Market Tracker Presented by the Kaiser Family Foundation Thursday, December 11, 2014.

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Presentation transcript:

Web Briefing: The Medicaid Managed Care Market Tracker Presented by the Kaiser Family Foundation Thursday, December 11, 2014

Associate Director Kaiser Commission on Medicaid and the Uninsured (KCMU) Kaiser Family Foundation Julia Paradise

SOURCE: KFF Medicaid Managed Care Market Tracker 39 states contract with comprehensive Medicaid MCOs – 19 provide MCO enrollment data on their websites. As of September 2014 Reports MCO enrollment data (19 states) Does not report MCO enrollment data (20 states including DC) No MCOs (12 states)

SOURCE: KFF Medicaid Managed Care Market Tracker In most states that report their Medicaid MCO enrollment, at least 50% of beneficiaries are in MCOs. As of September states reporting 50-75% (7 states) 1- <50% (4 states) >75% (8 states) Data not reported (20 states) No MCOs (12 states) Share of Medicaid beneficiaries in MCOs Over 2/3 of Medicaid beneficiaries in the 19 reporting states are enrolled in MCOs.

Note: Excludes administrative spending, adjustments, and payments to the territories. SOURCE: KFF Medicaid Managed Care Market Tracker Payments to comprehensive MCOs account for more than one-quarter of total national Medicaid spending. Total Medicaid Spending = $438.2 billion FY 2013

SOURCE: Medicaid Managed Care Market Tracker Local and national MCOs both play a large role in the Medicaid managed care market. 18 states reporting Distribution of Medicaid MCO enrollment: Parent firm-owned MCOs 44%

State-level data: Find out about Medicaid managed care in a particular state or states, compare or rank states on selected measures, and get a national overview of Medicaid managed care. MCO-level data: Identify Medicaid MCOs, ascertain their current Medicaid enrollment, quality performance, and ownership by multi-state parent firms, and link to key information about their parent firms. Firm-level data: Learn what other insurance markets parent firms are in, link to financial information about the firms, and find out which parent firms own Medicaid MCOs that have been sanctioned by states. The Medicaid Managed Care Market Tracker can be used for a multitude of descriptive and analytic purposes.

We will add MCO enrollment data for other states as states make the information available. We will update data in the Tracker at regular intervals, and trend analysis will become possible over time. We will add more indicators as we identify new data sources. Watch for new functionality. Enhancements to the Tracker are planned.

Find the Medicaid Managed Care Market Tracker at kff.org/data-collection/medicaid-managed-care-market-tracker

Today’s web briefing and PowerPoint slides will be posted by or before tomorrow morning at kff.org/medicaid/event/web-briefing-the-medicaid- managed-care-market-tracker/ Today’s Web Briefing Will Be Archived

Until next time, keep up with the Kaiser Family Foundation online: Facebook: /KaiserFamilyFoundation LinkedIn:/company/kaiser-family-foundation Alerts:kff.org/ Thank you!