State Medicaid Trends: Spending, Coverage and Cost Containment Vernon K. Smith, Ph.D. HEALTH MANAGEMENT ASSOCIATES

8/6/2003


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Table of Contents

State Medicaid Trends: Spending, Coverage and Cost Containment Vernon K. Smith, Ph.D. HEALTH MANAGEMENT ASSOCIATES

Average Annual Growth Rates for Total Medicaid Spending

Key Factors Causing Medicaid Spending Growth in 2002

U.S. Medicaid Enrollment Increases FY 1998 – FY 2003

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Increasing Number of Persons Without Health Insurance Adds to Medicaid Enrollment

Total SCHIP Enrollment in 50 States and the District of Columbia

U.S. Medicaid Enrollment Growth: Children and Families Vs. Aged and Disabled 1998 - 2001

Sources of Growth in U.S. Medicaid Expenditures, 2002 to 2003

U.S. Prescription Drug Spending

Hospital Spending: the Current Leading Contributor to Cost Increases

HMOs: Retreating from Managed Managed Care

Average U.S. HMO Premium Increases 1988 – 2003

Employer Strategy: Shift Costs to Employees

Medicaid Cost Containment Plans FY 2003

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Medicaid Pharmacy Policy Changes FY2003 45 States

States Undertaking Medicaid Cost Containment Strategies: FY2002 and FY2003

Other FY2003 Medicaid Strategies

Medicaid and All Programs FY 2002 and FY 2003

Number of States Expecting a Medicaid Budget Shortfall in FY2003

Total State Budget Shortfalls FY 2002 – FY 2004

Contributing Factors to State Budget Shortfalls in FY 2002

Change in State Tax Revenue Collections, 1992-2002

Increases in State General Fund Spending FY 1996-2003

Looking Ahead to FY 2004

Federal Fiscal Relief Helps Jobs and Growth Tax Relief Reconciliation Act of 2003

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