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Medicaid Update A 30-minute look at the Mississippi Division of Medicaids current standing and financial outlook House Medicaid Committee January 23, 2019 Drew L. Snyder Executive Director Office of the Governor Division of Medicaid State


  1. Medicaid Update A 30-minute look at the Mississippi Division of Medicaid’s current standing and financial outlook House Medicaid Committee January 23, 2019 Drew L. Snyder Executive Director Office of the Governor Division of Medicaid

  2. State spending down 9% since FY16 Medicaid’s state support spending is projected to drop by about $100M compared to SFY16 peak. Total State Support Spending (in Millions) 1020 $1.013B 1000 $979M 980 $978M 960 940 $935M 920 $917M 900 FY15 FY16 FY17 FY18 FY19 (Est.) 1

  3. Erasing the deficit Medicaid has avoided the sizable deficit appropriations common in previous years. 2

  4. Living within limits in FY2019 Since sine die last March, an anticipated $40M deficit has become a potential surplus. 3

  5. Medicaid Enrollment Total Medicaid enrollment declined by 4% in calendar year 2018. CY2018 Medicaid Enrollment 720,000 710,000 696,685 700,000 690,180 700,020 690,000 683,557 692,063 678,243 674,804 687,906 680,000 670,959 678,980 670,000 675,028 672,864 660,000 650,000 4

  6. MississippiCAN Enrollment Managed care enrollment dipped in calendar year 2018 but has increased since October. CY2018 MississippiCAN Enrollment 500,000 490,000 480,000 470,595 465,017 470,000 454,495 460,000 447,263 457,903 450,000 437,875 451,931 433,139 440,000 427,819 441,782 430,000 434,047 432,195 420,000 410,000 400,000 5

  7. Major Factors in Budget Turnaround Three major factors contributed to turning around the Medicaid budget outlook in fiscal year 2019: Enrollment Fiscal Discipline/Robust Budget Management Strong Finish to FY2018 6

  8. FY2020 Budget Outlook DOM presented its initial FY2020 budget request to the Joint Legislative Budget Committee on September 17, 2018. That request has been revised downward. $954 million – JLBC, Sept. 17, 2018 $939 million – Revised, Jan. 14, 2019 • Potential to see a further downward revision to FY20 request during session 7

  9. Major variables for FY2020 budget Enrollment Managed Care Capitation Rates New legislatively-mandated programs 8

  10. Transparency Dashboard Medicaid Vital Signs • Online dashboard with key program metrics which will be updated regularly. Includes: – Enrollment trends – Monthly Medicaid expenditures – Program Integrity activities • www.medicaid.ms.gov/medicaid-vital-signs/ 9

  11. 2019 Priorities Improving health & wellness of beneficiaries Reducing administrative burden on providers Providing program transparency Enhancing value to taxpayers & consumers 10

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