Medicaid Update A 30-minute look at the Mississippi Division of - - PowerPoint PPT Presentation

Drew L. Snyder

Executive Director Office of the Governor Division of Medicaid

Medicaid Update

A 30-minute look at the Mississippi Division of Medicaid’s current standing and financial outlook House Medicaid Committee

January 23, 2019

State spending down 9% since FY16

$978M $1.013B $979M $935M $917M 900 920 940 960 980 1000 1020 FY15 FY16 FY17 FY18 FY19 (Est.)

Total State Support Spending (in Millions)

Medicaid’s state support spending is projected to drop by about $100M compared to SFY16 peak.

1

Erasing the deficit

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

2

Living within limits in FY2019

Since sine die last March, an anticipated $40M deficit has become a potential surplus.

3

Medicaid Enrollment

Total Medicaid enrollment declined by 4% in calendar year 2018.

4

700,020 696,685 692,063 690,180 687,906 683,557 678,980 678,243 675,028 674,804 672,864 670,959 650,000 660,000 670,000 680,000 690,000 700,000 710,000 720,000

CY2018 Medicaid Enrollment

MississippiCAN Enrollment

Managed care enrollment dipped in calendar year 2018 but has increased since October.

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470,595 465,017 457,903 454,495 451,931 447,263 441,782 433,139 432,195 427,819 434,047 437,875 400,000 410,000 420,000 430,000 440,000 450,000 460,000 470,000 480,000 490,000 500,000

CY2018 MississippiCAN Enrollment

Major Factors in Budget Turnaround

Enrollment Fiscal Discipline/Robust Budget Management Strong Finish to FY2018

6 Three major factors contributed to turning around the Medicaid budget outlook in fiscal year 2019:

FY2020 Budget Outlook

$954 million – JLBC, Sept. 17, 2018

DOM presented its initial FY2020 budget request to the Joint Legislative Budget Committee

• n September 17, 2018. That request has been revised downward.
• Potential to see a further downward revision to FY20

request during session

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$939 million – Revised, Jan. 14, 2019

Major variables for FY2020 budget

Enrollment Managed Care Capitation Rates New legislatively-mandated programs

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Transparency Dashboard

• 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/

Medicaid Vital Signs

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2019 Priorities

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Improving health & wellness of beneficiaries Reducing administrative burden on providers Providing program transparency Enhancing value to taxpayers & consumers