Skip Navigation

Close and don't show again.

Your browser is out of date.

You may not get the full experience here on National Journal.

Please upgrade your browser to any of the following supported browsers:

Four Percent of Medicaid Recipients Account for 30 Percent of Its Spending Four Percent of Medicaid Recipients Account for 30 Percent of Its Spen...

This ad will end in seconds
 
Close X

Not a member? Learn More »

Forget Your Password?

Don't have an account? Register »

Reveal Navigation
 

 

Health Care

Four Percent of Medicaid Recipients Account for 30 Percent of Its Spending

Long-term care patients, mothers, and infants are among the program’s most expensive participants.

Hospital-related costs and long-term care facilities account for 65 percent of spending on high-expenditure Medicaid beneficiaries, a new report says.(Popova Valeriya/Shutterstock.com)

photo of Clara Ritger
February 19, 2014

Nearly one-third of state Medicaid spending went to only 4 percent of beneficiaries, a new report finds.

Those high-expenditure beneficiaries cost states the same as another 80 percent of beneficiaries, according to 2009 data—the most recent available—from the Government Accountability Office. In a report released Wednesday, the GAO found that states spent 31.6 percent of total funds on 4.3 percent of beneficiaries and 33.1 percent of total funds on 81.2 percent of beneficiaries.

Certain characteristics of beneficiaries could explain the astronomical costs of relatively few on the program. Those who reside in long-term care facilities, who have immunodeficiency viruses or disabilities, or are new mothers/infants were more likely to be high-expenditure beneficiaries, the report concluded.

 

Hospital-related services and long-term care services comprised roughly 65 percent of the costs of care for high-expenditure beneficiaries. But for all other beneficiaries, the GAO found that managed care organizations and premium assistance made up 57.2 percent of the costs.

Medicaid, a state-run health insurance program for low-income Americans, will be expanded in roughly half of states to encompass more of the nation's poorest workers due to the Affordable Care Act. The GAO's report is expected to inform congressional action around the program.

 

LIKE THIS STORY? Sign up for Health Care Edge

Get your daily dose of National Journal's health care coverage.

Sign up form for Health Care Edge
Job Board
Search Jobs
Professional Development Program Engineer
American Society of Civil Engineers | Farmington Hills, MI
Biomedical Service Internship Position
American Society of Civil Engineers | Flint, MI
Deputy Director of Transit Operations
American Society of Civil Engineers | San Jose, CA
Structural Engineer
American Society of Civil Engineers | New Haven, CT
Transportation Planner
American Society of Civil Engineers | Salinas, CA
Assessment and Remediation Team Lead
American Society of Civil Engineers | Regina, SK
Quality Systems Manager
American Society of Civil Engineers | Greensboro, NC
Quality Engineer
American Society of Civil Engineers | Attica, IN
Senior Water Resource Project Manager
American Society of Civil Engineers | Fairfax, VA
Civil Engineering
American Society of Civil Engineers | Steamboat Springs, CO
Entry Level Geotechnical Engineer
American Society of Civil Engineers | Albany, NY
Sales Engineer-Process Automation/Instrumentation
American Society of Civil Engineers
Senior Project Manager- Transportation
American Society of Civil Engineers | San Antonio, TX
Materials Engineer 2
American Society of Civil Engineers | IL
Land Surveyor
American Society of Civil Engineers
 
Comments
comments powered by Disqus