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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 Waiver
for 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.

Himmelstein, David, et al. “Medical Bankruptcy in the United States, 2007: Results of a National Study,” Clinical Research Study vol. 122, no. 8 (Aug. 2009): 741 – 746. DOI: 10.1016/j.amjmed.2009.04.2012

Kaiser Family Foundation analysis of hospital inpatient data from the Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project (HCUP), State Inpatient Databases and quarterly 2012 and 2014 data. Data available at: http://www.hcup-us.ahrq.gov/faststats/landing.jsp

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), https://www.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) https://www.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

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