Kansas Medicaid Overview

1
Kansas Medicaid Overview
Division of Health Policy and Finance

• Robert M. Day, Ph.D., Director
• Division of Health Policy and Finance

Slide 1
2
Medicaid Facts
Division of Health Policy and Finance

• Medicaid is second only to public education in
  the number of citizens impacted by its services
• In a twelve-month period, Medicaid and SCHIP will
  cover 350,000 Kansans
• Medicaid pays for approximately one-third of all
  births in Kansas

Slide 2
3
Medicaid Facts, continued
Division of Health Policy and Finance

• Forty-two percent of Medicaid enrollees are
  children twelve and under
• Children represent majority of enrollment
  increase, but are lowest cost population
• Preventive services comprise small portion of
  total expenditures
• Health care costs due to sick care

Slide 3
4
Background
Division of Health Policy and Finance

• Medicaid purchases health care services in a
  dysfunctional marketplace
• Health care is a volume driven business in which
  providers are rewarded for doing more
• Like commercial insurance, it operates with
  information asymmetry and moral hazard

Slide 4
5
Medicaid Population
Division of Health Policy and Finance
Slide 5
6
Division of Health Policy and Finance
Slide 6
7
Division of Health Policy and Finance
Slide 7
8
Division of Health Policy and Finance
Slide 8
9
Medicaid Expenditures
Division of Health Policy and Finance
Slide 9
10
Cost Drivers in Health Care
Division of Health Policy and Finance

• Increased utilization driven by technology
• Price increases
• Increasing caseload

Slide 10
11
Division of Health Policy and Finance
Slide 11
12
Division of Health Policy and Finance
Slide 12
13
Division of Health Policy and Finance
Slide 13
14
Division of Health Policy and Finance
Slide 14
15
Division of Health Policy and Finance
Slide 15
16
Division of Health Policy and Finance
Slide 16
17
Division of Health Policy and Finance
Slide 17
18
Division of Health Policy and Finance
Slide 18
19
Long Term Care
Division of Health Policy and Finance

• Includes Home and Community Based Waivers (HCBS)
  and institutional care

Slide 19
20
Division of Health Policy and Finance
Slide 20
21
Division of Health Policy and Finance
Slide 21
22
Division of Health Policy and Finance
Slide 22
23
MediKan
Division of Health Policy and Finance

• Funded by state general fund dollars (SGF) only,
  but included in caseload
• Designed as a limited benefit program for those
  seeking SSI (disability determination)
• Currently, about 25 percent of those in MediKan
  are deemed eligible for SSI

Slide 23
24
Division of Health Policy and Finance
Slide 24
25
Division of Health Policy and Finance
Slide 25
26
Division of Health Policy and Finance
Slide 26
27
Summary
Division of Health Policy and Finance

• Population growth largely driven by enrollment of
  children
• Expenditure growth primarily due to care for
  disabled
• Mental health expenditures continue to grow
  faster than other medical services
• While waivers provide lower cost services, they
  attract more enrollees

Slide 27
28
Division of Health Policy and Finance

• Some savings could be found on the margins
• Structural changes are required to substantially
  impact cost growth

Slide 28
29
Questions?
Division of Health Policy and Finance
Slide 29