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CPPP - Medicaid Spending in Texas

CPPP - Medicaid Spending in Texas

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Published by: ProgressTX on Jul 03, 2012
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 May 8, 2012 82
nd
Legislature Senate Health and HumanServices Committee
7020 Easy Wind Drive, Suite 200
Austin, Texas 787
52
• T 512/320
-
0222 • F 512/320
-
0227 www.cppp.org
 
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.
Theevaluation should include but is not limited to: the expansion of managed care, co-pays in Medicaid, electronic visitverification, and independent assessments for long-term care services. The evaluation should also consider new cost-containment strategies that will increase efficiencies and reduce costs. This evaluation should include but not be limitedto: Medicaid, Early Childhood Intervention Services, and immunizations.
 
 
2
Medicaid is Indispensable
 
Texas Medicaid Spending per client is
 
(1) Declining and (2) Below Average
Medicaid Payments per Enrollee, FY2009
Texas Medicaid spending Trend per ClientCost perClient$/ClientAdjusted forInflation
1996 $3,730 $6,027 5.6%1997 4018 6,372 5.7%1998 4474 6,993 9.7%1999 4846 7,314 4.6%2000 5155 7,455 1.9%2001 5535 7,766 4.2%2002 5729 7,872 1.4%2003 5600 7,388 -6.2%2004 5165 6,549 -11.3%2005 5351 6,383 -2.5%2006 5595 6,339 -0.7%2007 5712 6,132 -3.3%2008 6201 6,303 2.8%2009 6404 6,535 3.7%2010 6522 6,522 -0.2%2011 $6,767 $6,767
 
 
3
Rank(1=high | 51=low)Aged Disabled Adults Children TotalUnited States
$13,186 $15,453 $2,926 $2,313 $5,535
$24,761 $32,954 $3,854 $3,158 $9,577
$22,094 $23,140 $3,946 $2,531 $9,143
$22,494 $29,881 $4,277 $2,505 $8,960
$21,286 $25,793 $5,916 $4,666 $8,782
$15,211 $19,525 $4,569 $3,584 $8,566
$17,705 $21,936 $4,817 $2,399 $8,268
$17,119 $26,402 $3,624 $3,254 $8,206
$19,896 $10,415 $4,074 $4,755 $8,066
2
$20,763 $22,135 $3,351 $2,153 $7,608
$21,268 $12,883 $3,692 $2,748 $7,397
2
$18,106 $21,590 $3,981 $2,883 $7,352
$22,824 $15,846 $4,382 $2,910 $7,348
$19,616 $16,793 $3,185 $2,918 $6,978
$9,242 $17,899 $2,126 $3,879 $6,895
$13,971 $14,986 $3,513 $3,278 $6,504
$12,766 $19,050 $3,625 $2,089 $6,491
2
$19,518 $21,496 $4,164 $2,527 $6,405
$14,761 $15,999 $3,724 $2,218 $6,352
$16,646 $15,415 $4,482 $2,185 $6,272
$18,900 $16,501 $3,315 $1,838 $6,116
$10,664 $16,050 $4,059 $2,796 $6,098
$15,344 $17,745 $2,728 $2,687 $6,069
$14,330 $17,412 $4,578 $2,645 $5,944
$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
$12,820 $10,635 $3,397 $2,371 $5,855
$12,802 $16,942 $4,486 $1,938 $5,658
$11,874 $16,001 $4,011 $2,492 $5,536
$12,088 $19,154 $3,199 $2,821 $5,475
2
$16,332 $17,803 $3,215 $2,021 $5,458
$14,207 $18,236 $2,109 $1,993 $5,438
$14,519 $14,738 $3,846 $2,059 $5,343
$11,018 $16,079 $2,564 $2,835 $5,331
$10,936 $13,331 $3,254 $2,312 $5,181
$12,961 $16,180 $3,508 $1,953 $5,140
$14,552 $15,689 $3,206 $1,896 $5,035
$15,139 $12,642 $3,625 $1,926 $4,965
$8,548 $12,963 $3,122 $2,047 $4,899

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