Mullins medicaid


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Mullins medicaid

  1. 1. Briefing on Alabama Medicaid R. Bob Mullins, Jr. MD Commissioner Alabama Medicaid Agency November 2011
  2. 2. Today’s Top Issues <ul><li>The number of AL citizens on Medicaid is growing. Average monthly enrollment increased 33 percent between 2001 and 2010. </li></ul><ul><li>Medicaid will consume about 35 percent of the FY 2012 General Fund budget. If current trends continue, Medicaid would require 92 percent of the General Fund in FY 2020 . </li></ul><ul><li>Medicaid plays an essential role in the state’s economy by funding jobs, generating income and state tax revenues and by providing health care services for all citizens. </li></ul>
  3. 3. Economic Impact of Alabama Medicaid <ul><li>Direct Impact </li></ul><ul><ul><li>96,235 Jobs Directly Supported </li></ul></ul><ul><ul><li>$203,975,720 State Sales Tax </li></ul></ul><ul><ul><li>$214,174,506 State Income Tax </li></ul></ul><ul><li>Secondary Impact </li></ul><ul><ul><li>47,155 Jobs </li></ul></ul><ul><ul><li>$3,161,623,660 in Additional Supported Income </li></ul></ul><ul><ul><li>$83,630,046 State Sales Tax </li></ul></ul><ul><ul><li>$87,811,548 State Income Tax </li></ul></ul><ul><ul><li>(Due to employee and business spending) </li></ul></ul>
  4. 4. Economic Impact of Alabama Medicaid <ul><li>Total Impact on Jobs, </li></ul><ul><li>Income & Selected Taxes </li></ul><ul><li>143,390 Jobs </li></ul><ul><li>$3,161,623,660 in Additional Income </li></ul><ul><li>$589,591,820 in Select Taxes </li></ul><ul><li>Total Monetary Impact in Alabama: </li></ul>
  5. 5. Today’s Top Issues <ul><li>Updated technology is essential: </li></ul><ul><ul><ul><li>To manage expanded enrollment if health care reform is implemented </li></ul></ul></ul><ul><ul><ul><li>To develop the infrastructure for the exchange electronic health record information </li></ul></ul></ul><ul><ul><ul><li>To build the infrastructure to support the state health insurance exchange </li></ul></ul></ul><ul><li>More primary health care providers are needed </li></ul><ul><ul><ul><li>1,000 more needed if health care reform is implemented </li></ul></ul></ul>
  6. 6. Health Benefits / Information Exchanges <ul><li>Alabama is one of 10 states chosen by Robert Wood Johnson Foundation for expert technical assistance to develop Benefits Exchange and related projects, including Level 1 Funding application for federal funds </li></ul><ul><li>Medicaid developing Customer Service Centers throughout state that will ultimately serve as enrollment centers for the Benefits Exchange </li></ul>
  7. 7. Medicaid Recipients FY 2010
  8. 8. Impact on Alabama Citizens <ul><li>21.1 percent of state’s population qualified for some type of Medicaid at least one month during FY 2011 – that number is growing </li></ul><ul><li>More than one-half of all babies born in AL (30,000+) covered </li></ul><ul><li>Two-thirds of all nursing home residents are covered by Medicaid </li></ul><ul><li>43.5 percent of all Alabama children are eligible </li></ul><ul><li>43 percent of children on Medicaid have at least one working parent </li></ul>
  9. 9. Average Monthly Enrollment <ul><li>FY 2001 – 639,615 </li></ul><ul><li>FY 2008 – 756,564 </li></ul><ul><li>FY 2009 – 759,990 </li></ul><ul><li>FY 2010 – 851,199 </li></ul><ul><li>FY 2001 to FY 2010 – Up 211,584 (33.1%) </li></ul><ul><li>*Medicaid Report ELIGPROJ Diff 6-16-11 </li></ul>
  10. 10. Average Monthly Enrollment <ul><li>FY 2011 (Projected) – 909,821 </li></ul><ul><li>FY 2012 – (Projected) – 953,961 </li></ul><ul><li>FY 2013 – (Projected) – 997,752 </li></ul><ul><li>FY 2014 – (Projected) – 1,124,347* </li></ul><ul><li>Based on Medicaid Report ELIGPROJ Diff 7-15-11 </li></ul><ul><li>*Projected impact of Health Care Reform / Medicaid Expansion </li></ul>
  11. 11. Who Qualifies for Medicaid: <ul><li>Alabama’s income limits among the most restrictive in the country </li></ul><ul><ul><li>Low-income families ( Family of 4 must have < $194/mo. income) </li></ul></ul><ul><li>Children ages 6-19 (100% FPL) </li></ul><ul><li>Pregnant women / children ages 0-5 (133% FPL) </li></ul><ul><li>SSI for Aged, Blind and Disabled (certified by SSA) </li></ul><ul><li>Medicare-related programs (QMB, SLMB, QI-1) </li></ul><ul><li>Nursing Home Medicaid </li></ul><ul><li>Home and Community-Based Waivers </li></ul><ul><ul><li>Same limits as nursing home </li></ul></ul>
  12. 12. Who Qualifies for Medicaid:
  13. 13. Medicaid Payment Rates 1997-2016
  14. 14. Medicaid’s Funding Shelby Total population 191,474 Medicaid eligible population 14,761 (7.7%) Total child population 52,681 Medicaid eligible children 8,841 (16.8%) Total payments by county of eligible $67.8 (million) Total payments by county of provider $77.5 (million) Total non-federal health care jobs 4,886 <ul><li>Medicaid will consume about one third of the FY12 General Fund Budget </li></ul><ul><li>If current trends continue, Medicaid would require about 92 percent of the General Fund Budget by FY 2020 </li></ul><ul><li>Medicaid is looking for ways to reduce costs while improving the cost of care. </li></ul><ul><li>Key projects to this effort include: </li></ul><ul><ul><li>Patient Care Networks (3 pilots underway now) </li></ul></ul><ul><ul><li>PACE programs / Long Term Care in the Community </li></ul></ul><ul><ul><li>Pharmacy Initiatives </li></ul></ul>