nd

May 8, 2012

82 Legislature

Senate Health and Human

Services Committee

Senate Committee on Health and Human Services, charge #2

Comments on Charge #2
Charge #2 - Evaluate the implementation of cost-containment strategies across the Health and Human Services Enterprise
to determine if and how each strategy can be expanded upon to achieve additional savings next biennium. The
evaluation should include but is not limited to: the expansion of managed care, co-pays in Medicaid, electronic visit
verification, and independent assessments for long-term care services. The evaluation should also consider new costcontainment strategies that will increase efficiencies and reduce costs. This evaluation should include but not be limited
to: Medicaid, Early Childhood Intervention Services, and immunizations.

7020 Easy Wind Drive, Suite 200 Austin, Texas 78752 T 512/320-0222 F 512/320-0227 www.cppp.org

Medicaid is Indispensable

Texas Medicaid Spending per client is

(1) Declining and (2) Below Average

Texas Medicaid spending Trend per Client

1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011

Cost per
Client

$/Client
Adjusted for
Inflation

$3,730
4018
4474
4846
5155
5535
5729
5600
5165
5351
5595
5712
6201
6404
6522
$6,767

$6,027
6,372
6,993
7,314
7,455
7,766
7,872
7,388
6,549
6,383
6,339
6,132
6,303
6,535
6,522
$6,767

5.6%
5.7%
9.7%
4.6%
1.9%
4.2%
1.4%
-6.2%
-11.3%
-2.5%
-0.7%
-3.3%
2.8%
3.7%
-0.2%

Medicaid Payments per Enrollee, FY2009

Rank
(1=high | 51=low)

Aged

Disabled

Adults

Children

Total

United States

$13,186

$15,453

$2,926

$2,313

$5,535

1. Connecticut

$24,761

$32,954

$3,854

$3,158

$9,577

2. District of Columbia

$22,094

$23,140

$3,946

$2,531

$9,143

3. New York

$22,494

$29,881

$4,277

$2,505

$8,960

4. Alaska

$21,286

$25,793

$5,916

$4,666

$8,782

5. Rhode Island

$15,211

$19,525

$4,569

$3,584

$8,566

6. New Jersey

$17,705

$21,936

$4,817

$2,399

$8,268

7. Minnesota

$17,119

$26,402

$3,624

$3,254

$8,206

8. Massachusetts

$19,896

$10,415

$4,074

$4,755

$8,0662

9. North Dakota

$20,763

$22,135

$3,351

$2,153

$7,608

10. Pennsylvania

$21,268

$12,883

$3,692

$2,748

$7,3972

11. Maryland

$18,106

$21,590

$3,981

$2,883

$7,352

12. Montana

$22,824

$15,846

$4,382

$2,910

$7,348

13. New Hampshire

$19,616

$16,793

$3,185

$2,918

$6,978

$9,242

$17,899

$2,126

$3,879

$6,895

15. Missouri

$13,971

$14,986

$3,513

$3,278

$6,504

16. Wisconsin

$12,766

$19,050

$3,625

$2,089

$6,4912

17. Wyoming

$19,518

$21,496

$4,164

$2,527

$6,405

18. Kansas

$14,761

$15,999

$3,724

$2,218

$6,352

19. Oregon

$16,646

$15,415

$4,482

$2,185

$6,272

20. Ohio

$18,900

$16,501

$3,315

$1,838

$6,116

21. North Carolina

$10,664

$16,050

$4,059

$2,796

$6,098

22. Nebraska

$15,344

$17,745

$2,728

$2,687

$6,069

23. Delaware

$14,330

$17,412

$4,578

$2,645

$5,944

24. Kentucky

$9,759

$10,430

$4,649

$2,952

$5,890

$10,522

$14,879

$3,801

$2,639

$5,870

$5,247

$17,744

$5,215

$3,936

$5,862

27. West Virginia

$12,820

$10,635

$3,397

$2,371

$5,855

28. Idaho

$12,802

$16,942

$4,486

$1,938

$5,658

29. South Dakota

$11,874

$16,001

$4,011

$2,492

$5,536

30. Utah

$12,088

$19,154

$3,199

$2,821

$5,4752

31. Colorado

$16,332

$17,803

$3,215

$2,021

$5,458

32. Iowa

$14,207

$18,236

$2,109

$1,993

$5,438

33. Washington

$14,519

$14,738

$3,846

$2,059

$5,343

34. Vermont

$11,018

$16,079

$2,564

$2,835

$5,331

35. South Carolina

$10,936

$13,331

$3,254

$2,312

$5,181

36. Hawaii

$12,961

$16,180

$3,508

$1,953

$5,140

37. Indiana

$14,552

$15,689

$3,206

$1,896

$5,035

38. Michigan

$15,139

$12,642

$3,625

$1,926

$4,965

$8,548

$12,963

$3,122

$2,047

$4,899

14. Maine

25. Virginia
26. New Mexico

39. Louisiana

Rank
(1=high | 51=low)

Aged

Disabled

Adults

Children

Total

$13,186

$15,453

$2,926

$2,313

$5,535

40. Mississippi

$9,775

$9,697

$3,352

$2,225

$4,890

41. Texas

$8,808

$13,953

$3,063

$2,753

$4,884

$10,464

$13,952

$2,913

$2,414

$4,848

43. Arizona

$9,438

$16,415

$4,350

$2,441

$4,846

44. Tennessee

$7,484

$9,826

$4,115

$2,376

$4,742

45. Illinois

$10,105

$15,921

$3,157

$2,271

$4,722

46. Arkansas

$12,564

$10,534

$1,237

$2,036

$4,639

47. Nevada

$8,117

$13,265

$2,359

$2,149

$4,286

48. Florida

$7,917

$10,883

$2,569

$1,627

$4,168

49. Alabama

$8,265

$7,020

$2,035

$2,398

$4,081

50. Georgia

$8,183

$8,999

$4,424

$1,811

$3,979

$10,528

$16,269

$1,073

$1,567

$3,5271

United States

42. Oklahoma

51. California

America has a Health Care Spending Problem, NOT a Medicaid Problem