Lecture Health economics - Chapter 15: Medicaid. This chapter presents the following content: Coverage and financing, current challenges, medicaid financing, state variations, medicaid & the nursing home market, was the expansion worth it?
Medicaid Professor Vivian Ho Health Economics Fall 2009 Topics Coverage and Financing Current Challenges Restraining costs Improving health Medicaid Trends # of Year Recipients (m) 1972 1975 1985 1988 1989 1990 1995 1998 2001 2005 17,606 22,007 21,814 22,907 23,511 25,255 36,282 40,096 45,766 57,300 Total Cost ($m) $ 6,300 12,242 37,508 48,710 54,500 64,859 120,141 142,318 186,905 298,200 Medicaid Recipients, 2005 % of % of Average recipients payments payment Kids(7m in 2007 Income eligibility levels vary from 300% of federal poverty level in Connecticut, to 133% in Wyoming Medicaid & the Nursing Home Market Individuals who meet certain lowincome and disability requirements qualify for nursing home care covered by Medicaid Medicaid reimburses nursing homes on a fixed price basis (e.g price per day) Does Medicaid “work?” In late 1980’s, income ceilings for Medicaid coverage were raised Pregnancy care for women with incomes