2002 State and National Medicaid Enrollment and Spending Data (MSIS)

Published: Mar 1, 2006

This set of tables, prepared by the Urban Institute for the Kaiser Commission on Medicaid and the Uninsured, presents state-by-state information on Medicaid enrollment, expenditures, and spending per enrollee for Federal Fiscal Year (FFY) 2002. These tables are based on analysis of data from the Medicaid Statistical Information System (MSIS) and provide a somewhat different measure of spending than CMS-64 data. Please see the “Overview of Differences” document below for more on the features of each data source.

Full Set of Tables (.pdf)

Individual Tables (.pdf)

Table 1Medicaid Enrollment by Group, FFY 2002Table 1aPercent Distribution of Medicaid Enrollees by Group, FFY 2002Table 2Medicaid Payments Per Enrollee by Group, FFY 2002Table 3Medicaid Payments by Service, FFY 2002Table 3aPercent Distribution of Medicaid Payments by Service, FFY 2002Table 4Medicaid Payments by Group, FFY 2002Table 4aPercent Distribution of Medicaid Payments by Group, FFY 2002Table 5Medicaid Payments for Inpatient Hospital Services by Group, FFY 2002Table 5aPercent Distribution of Medicaid Payments for Inpatient Hospital Services by Group, FFY 2002Table 6Medicaid Payments for Nursing Facilities by Group, FFY 2002Table 6aPercent Distribution of Medicaid Payments for Nursing Facilities by Group, FFY 2002Table 7Medicaid Payments for Prescribed Drugs by Group, FFY 2002Table 7aPercent Distribution of Medicaid Payments for Prescribed Drugs by Group, FFY 2001Table 8Medicaid Payments for Physicians and Other Practitioners by Group, FFY 2002Table 8aPercent Distribution of Medicaid Payments for Physicians and Other Practitioners by Group, FFY 2002Table 9Medicaid Payments for Outpatient Hospital and Clinic Services by Group, FFY 2002Table 9aPercent Distribution of Medicaid Payments for Outpatient Hospital and Clinic Services by Group, FFY 2002Table 10Medicaid Payments for ICF-MR by Group, FFY 2002Table 10aPercent Distribution of Medicaid Payments for ICF-MR by Group, FFY 2002Table 11Medicaid Payments for Mental Health Facilities by Group, FFY 2002Table 11aPercent Distribution of Medicaid Payments for Mental Health Facilities by Group, FFY 2002Table 12Medicaid Payments for Managed Care by Group, FFY 2002Table 12aPercent Distribution of Medicaid Payments for Managed Care by Group, FFY 2002Table 13Medicaid Payments for Home and Personal Care by Group, FFY 2002Table 13aPercent Distribution of Medicaid Payments for Home and Personal Care by Group, FFY 2002Table 14Medicaid Payments for Other Services by Group, FFY 2002Table 14aPercent Distribution of Medicaid Payments for Other Services by Group, FFY 2002Table 15Medicaid Payments for Unknown Services by Group, FFY 2002Table 15aPercent Distribution of Medicaid Payments for Unknown Services by Group, FFY 2002

Table Notes (.pdf)

Overview of Sources (.pdf)

New Media and the Future of Public Service Advertising: Case Studies March 2006

Published: Mar 1, 2006

New Media and the Future of Public Service Advertising: Case Studies, March 2006

The Kaiser Family Foundation released this collection of case studies on public education campaigns that use new media to help illustrate ways to incorporate new strategies into ongoing or new efforts at a forum on Tuesday, March 21, 2006, in Washington, D.C.

Report (.pdf)

2004 State and National Medicaid Spending Data (CMS-64)

Published: Mar 1, 2006

This set of tables, prepared by the Urban Institute for the Kaiser Commission on Medicaid and the Uninsured, presents the most current state-by-state information on Medicaid spending by services using data from the Centers on Medicaid and Medicare Services (CMS) Form 64 for Federal Fiscal Year (FFY) 2004. CMS-64 data provide a somewhat different measure of spending than does the Medicaid Statistical Information System (MSIS). Please refer to the “Overview of Differences” document below for more on the features of each data source.

Full Set of Tables (.pdf)

Individual Tables (.pdf)

Table 1: Federal and State Share of Medicaid Expenditures, FFY 2004Table 2: Medicaid Expenditures by Type of Service, FFY 2004Table 2a: Percent Distribution of Medicaid Expenditures by Type of Service, FFY 2004Table 3: Expenditures on Acute Care Services, FFY 2004Table 3a: Percent Distribution of Expenditures on Acute Care Services, FFY 2004Table 4: Expenditures on Long-term Care Services, FFY 2004Table 4a: Percent Distribution of Expenditures on Long-term Care Services, FFY 2004

An Update on the Clawback: Revised Health Spending Data Change State Financial Obligations for the New Medicare Drug Benefit

Published: Mar 1, 2006

An Update on the Clawback: Revised Health Spending Data ChangeState Financial Obligations for the New Medicare Drug Benefit

States are obligated to finance part of the new Medicare prescription drug benefit via a monthly “clawback” payment to the federal government. This issue update analyzes the latest data and provides an overview of the state financing of the Medicare drug benefit. Revisions by the federal government due to updated data has resulted in an estimated net decline in the amount states will send to the federal government in 2006 through the clawback of more than $700 million.

Issue Brief (.pdf)

International Health Journalism Fellowship Project – Africa

Published: Feb 28, 2006

International Health Journalism Fellowship Project: AFRICA

About the Project

The Kaiser Family Foundation has maintained an extensive program in South Africa for nearly 20 years. Although the Foundation’s work in South Africa focused in the early years mainly on improving the public health system overall, the challenges of the HIV/AIDS epidemic have come to dominate the Foundation’s more recent work there. Over the past 15 years the Foundation has worked extensively with the South African media to increase both the quantity and quality of media coverage of health and development issues affecting the poor sectors of the population, and also to increase media attention to HIV/AIDS. Building on the success of our efforts to engage South African editors and reporters in these issues, the Foundation also organized a series of traveling seminars to countries throughout southern Africa for international journalists from the U.S. and Europe.

In October 2005, Kaiser, together with the South African Broadcasting Corporation and the Nelson Mandela Foundation, co-convened media leaders from over 20 different African countries in an historic summit in Johannesburg, under the auspices of the GMAI. Out of this gathering, the Africa Broadcast Media Partnership Against HIV/AIDS was launched with the main purpose of making HIV/AIDS a central part of broadcast media corporations’ business strategies and programming. www.broadcasthivafrica.org

In addition, As part of the International Health Journalism Fellowship Project in Africa, the Foundation has recently joined with CNN International in establishing a new award for excellence in HIV/AIDS reporting in Africa under the auspices of the prestigious annual CNN Multichoice African Journalism Awards.The new award is part of the Kaiser Family Foundation’s global effort to increase and sustain media coverage of the HIV/AIDS epidemic, to improve the breadth and substantiveness of HIV/AIDS reporting, and to increase access by journalists worldwide to the most current information on HIV/AIDS. In addition to this award, Kaiser also organizes traveling seminars and site visits on HIV/AIDS for journalists throughout Southern Africa and partners with other organizations to hold HIV/AIDS journalism trainings and workshops.

The Kaiser Family Foundation’s “Reporting on HIV/AIDS” manual is available here.

KFF/CNN Award for Excellence in HIV/AIDS Reporting in Africa

In February 2006 the Henry J. Kaiser Family Foundation in collaboration with CNN International announced a new award recognizing excellence in HIV/AIDS journalism in Africa. The Henry J. Kaiser Award for Excellence in HIV/AIDS Journalism is presented as part of the prestigious CNN/MultiChoice African Journalist Awards to recognize reporting on HIV/AIDS in Africa that illuminates the broad impact of the epidemic on individuals, communities and nations, and the resilience of the African response to the epidemic.

2008 Winner Announced: Read the Press Release about the winner, Hopewell Rugoho-Chin’ono, of Zimbabwe

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View his full length winning documentary, “Pain in my Heart.”

Site Visits and Events

Kaiser organizes traveling seminars and site visits on HIV/AIDS for journalists throughout Southern Africa and partners with other organizations to hold HIV/AIDS journalism trainings and workshops.

Read more information about HIV/AIDS and related health issues in Africa on Global Health Reporting, which currently includes country profiles for Botswana, Cameroon, Cote d’Ivoire, Egypt, Ghana, Malawi, Nigeria, Rwanda, South Africa, Sudan, Swaziland, Tanzania, Uganda, and Zambia. Additional country profiles are being developed.

<< International Health Journalism Fellowship Project main page

Issue Briefs Describe Changes in Private Plan Market and Effects on Medicare Beneficiaries

Published: Feb 28, 2006

These two issue briefs describe the different types of private plan options available to people on Medicare, identify key characteristics of the organizations offering the new Medicare drug benefit, and analyze how companies are positioning themselves to attract Medicare enrollees.

The Growth of Private Plans in Medicare, 2006

The Landscape of Private Firms Offering Medicare Prescription Drug Coverage in 2006

The Growth of Private Plans in Medicare, 2006

Published: Feb 28, 2006

, details the different types of private plan options available to people on Medicare. These include Medicare Advantage plans (such as Medicare HMOs, PPOs and private fee-for-service plans) and new stand-alone prescription drug plans.

• In 2006, all Medicare beneficiaries have access to at least one type of private Medicare Advantage plan, up from 77% in 2004. The increase in access stems largely from the creation of new Medicare regional PPOs and the expansion of private Medicare fee-for-service plans. About 13% of Medicare beneficiaries (5 million) are enrolled in private Medicare Advantage plans.

• The introduction of regional PPOs in 2006 and the growth in private fee-for-service plans have expanded access to private plans in rural areas, but HMOs continue to be more common in urban areas. Medicare HMOs are not offered in eight states: Alaska, Delaware, Maine, Montana, North Dakota, South Dakota, Vermont and Wyoming.

• Special needs plans are available in all but nine states. These plans serve beneficiaries who are eligible for Medicare and Medicaid, institutionalized beneficiaries and those with severe, chronic, and/or disabling conditions.

Issue Brief (.pdf)

The Landscape of Private Firms Offering Medicare Prescription Drug Coverage in 2006

Published: Feb 28, 2006

describes key characteristics of the organizations that offer the new Medicare drug benefit and analyzes how companies are positioning themselves to attract Medicare enrollees.

• Seven of the 10 organizations that sponsor stand-alone prescription drug plans nationwide are based in commercial insurance firms with substantial Medicare Advantage experience, and three of the 10 firms are in the pharmacy benefit management and service sector.

• Nine of the 10 organizations that sponsor stand-alone prescription drug plans nationwide offered a Medicare-endorsed discount card in 2004 and 2005 or partnered with a firm that did.

• Most of the major firms that dominated the Medicare Advantage program prior to 2006 have expanded their options and offer stand-alone prescription drug plans to appeal to a broader range of beneficiaries.

Issue Brief (.pdf)

Health Centers Reauthorization: An Overview of Achievements and Challenges

Published: Feb 28, 2006

This report reviews the role of community health centers in the nation’s health care safety net. Today, over 1,000 federally funded and “look-alike” health centers serve 14.3 million people, three-quarters of whom are uninsured or covered by Medicaid.

As health centers look toward legislative reauthorization in 2006, they face several policy challenges reviewed in this report, including an increase in the uninsured populations, potential decreases in Medicaid revenue, and a need to increase health centers’ workforce.

Report (.pdf)

A Case Study of the Utah Primary Care Network Waiver: Insights into Its Development, Design, and Implementation

Published: Feb 27, 2006

This report examines the creation and implementation of Utah’s waiver through interviews with key stakeholders and an analysis of state enrollment data and quarterly reports. Also see Health Affairs article, Can States Stretch the Medicaid Dollar Without Passing the Buck? Lessons from Utah

Report (.pdf)