Medicaid’s Role in Trauma Care
| Medicaid’s Role in Trauma- Related Care by State | ||||||
| State | Age-adjusted Injury-related Death Rate(2015) | Number of Level I or II Trauma Centers(2015) | Median Percent Medicaid Inpatient Hospital Days – Level I and II Trauma Centers(2015) | Median Percent Change in Medicaid Injury-Related Hospitalization(Q4 2012 to Q4 2014) | Home and Community-Based Waiverfor SCI or TBI(2013) | Home and Community-Based Waiver for Individuals with Physical Disabilities(2013) |
| Expanded Medicaid/ Republican Governor | ||||||
| Arizona | 75.3 | 8 | 27.3% | 89.5% | ||
| Arkansas | 78.7 | 10 | 14.5% | 40.0% | Yes | |
| Illinois | 54.0 | 56 | 19.9% | 61.9% | Yes | Yes |
| Indiana | 70.3 | 10 | 19.7% | 11.1% | Yes | Yes |
| Iowa | 59.2 | 14 | 16.1% | 50.0% | Yes | |
| Kentucky | 91.1 | 12 | 23.3% | 100.0% | Yes | Yes |
| Maryland | 63.7 | 12 | 23.8% | -37.5% | Yes | |
| Massachusetts | 55.7 | 10 | 21.8% | 35.3% | Yes | |
| Michigan | 67.4 | 31 | 21.7% | 68.2% | ||
| Nevada | 72.0 | 3 | 26.5% | 200.0% | Yes | |
| New Hampshire | 78.2 | 4 | 15.8% | Yes | ||
| New Jersey | 47.2 | 10 | 25.3% | 128.6% | Yes | Yes |
| New Mexico | 101.7 | 1 | 51.7% | 80.0% | ||
| North Dakota | 67.0 | 6 | 14.9% | 0.0% | ||
| Ohio | 77.2 | 27 | 20.8% | Yes | ||
| Vermont | 67.0 | 3 | 17.6% | 0.0% | Yes | |
| State Average | 70.4 | 217/665 | 22.5% | 59.1% | 9/16 | 7/16 |
| Expanded Medicaid/ Democrat or Independent Governor | ||||||
| Alaska | 95.8 | 2 | 26.2% | Yes | ||
| California | 46.6 | 54 | 28.8% | 111.0% | Yes | |
| Colorado | 74.1 | 17 | 22.2% | 137.5% | Yes | |
| Connecticut | 59.2 | 10 | 25.1% | Yes | Yes | |
| Delaware | 68.3 | 2 | 42.9% | Yes | ||
| District of Columbia | 65.2 | 3 | 32.4% | |||
| Hawaii | 50.2 | 2 | 23.6% | 25.0% | ||
| Louisiana | 84.0 | 6 | 22.0% | 0.0% | Yes | |
| Minnesota | 59.4 | 12 | 25.1% | 0.0% | Yes | Yes |
| Montana | 90.7 | 5 | 21.0% | 100.0% | ||
| New York | 42.8 | 43 | 30.6% | 10.4% | Yes | |
| Oregon | 67.6 | 10 | 23.7% | 150.0% | ||
| Pennsylvania | 72.5 | 31 | 18.6% | -4.1% | Yes | Yes |
| Rhode Island | 68.2 | 1 | 25.2% | 150.0% | ||
| Washington | 62.2 | 14 | 23.7% | 90.9% | ||
| West Virginia | 104.5 | 6 | 30.4% | 50.0% | Yes | |
| State Average | 69.5 | 218/665 | 26.3% | 68.4% | 7/16 | 6/16 |
| Did Not Expand Medicaid/ Republican Governor | ||||||
| Alabama | 78.6 | 12 | 13.2% | Yes | ||
| Florida | 66.9 | 26 | 23.1% | 7.5% | Yes | Yes |
| Georgia | 63.9 | 11 | 28.9% | -7.7% | Yes | |
| Idaho | 71.3 | 5 | 17.5% | Yes | ||
| Kansas | 69.1 | 6 | 16.4% | 33.3% | Yes | |
| Maine | 73.2 | 10 | 16.2% | -50.0% | Yes | |
| Mississippi | 86.7 | 13 | 26.4% | Yes | Yes | |
| Missouri | 78.9 | 21 | 20.4% | -5.9% | Yes | |
| Nebraska | 55.0 | 8 | 15.4% | 0.0% | Yes | |
| Oklahoma | 91.0 | 5 | 20.5% | -11.1% | Yes | |
| South Carolina | 79.0 | 7 | 18.6% | -25.0% | Yes | Yes |
| South Dakota | 76.6 | 5 | 18.8% | 0.0% | Yes | |
| Tennessee | 81.1 | 9 | 23.5% | 0.0% | ||
| Texas | 56.5 | 38 | 18.5% | 8.0% | ||
| Utah | 74.9 | 6 | 21.6% | 0.0% | Yes | Yes |
| Wisconsin | 69.3 | 15 | 13.5% | 36.4% | Yes | |
| Wyoming | 98.3 | 8 | 11.7% | 0.0% | Yes | |
| State Average | 74.7 | 205/665 | 19.1% | -1.0% | 9/17 | 10/17 |
| Did Not Expand Medicaid/ Democrat Governor | ||||||
| North Carolina | 68.2 | 11 | 22.3% | -11.1% | ||
| Virginia | 57.7 | 14 | 18.0% | 0.0% | Yes | |
| State Average | 63.0 | 25/665 | 20.2% | -5.6% | 0/2 | 1/2 |
| Data table prepared by Kaiser Family Foundation. | ||||||
Sources
Agency for Healthcare Research and Quality, Total Expenses and Percent Distribution for Selected Conditions by Source of Payment: United States, 2014 Medical Expenditure Panel Survey Household Component Data (Washington, DC: Agency for Healthcare Research and Quality), https://meps.ahrq.gov/data_stats/tables_compendia_hh_interactive.jsp?_SERVICE=MEPSSocket0&_PROGRAM=MEPSPGM.TC.SAS&File=HCFY2014&Table=HCFY2014_CNDXP_D&_Debug=.
American College of Surgeons, National Trauma Data Bank 20016: Annual Report (Chicago, IL: American College of Surgeons, 2016), https://www.facs.org/~/media/files/quality%20programs/trauma/ntdb/ntdb%20annual%20report%202016.ashx.
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National Center for Injury Prevention and Control, 10 Leading Causes of Death by Age Group, United States – 2015 (Washington, DC: National Vital Statistics System, National Center for Health Statistics, CDC). https://www.cdc.gov/injury/images/lc-charts/leading_causes_of_death_age_group_2015_1050w740h.gif
T. Ng, C. Harrington, M. Musumeci, and P. Ubri, Medicaid Home and Community-Based Services Programs: 2013 Data Update, Kaiser Family Foundation (October 2016), http://modern.kff.org/medicaid/report/medicaid-home-and-community-based-services-programs-2013-data-update/
M. O’Malley Watts, M. Musumeci and P. Ubri, Medicaid Section 1115 Managed Long-Term Services and Supports Waivers: A Survey of Enrollment, Spending, and Program Policies, Kaiser Family Foundation (January 2017) http://modern.kff.org/medicaid/report/medicaid-section-1115-managed-long-term-services-and-supports-waivers-a-survey-of-enrollment-spending-and-program-policies/
Weir, Sharada, et al. “One-year treatment costs of trauma care in the USA,” Expert Review of Pharmacoeconomics & Outcomes Research vol. 10, no. 2 (2010): p. 187+, http://dx.doi.org.pitt.idm.oclc,org/10.1586/erp.10.8
2015 AHA Annual Survey, Copyright 2016 by Health Forum, LLC, an affiliate of the American Hospital Association. Special data request, 2016. Available at http://www.ahaonlinestore.com