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Author Topic: Medicaid spending by state: total and per capita  (Read 9905 times)

Joe

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Medicaid spending by state: total and per capita
« on: July 16, 2003, 10:03:31 pm »

Federal and State Medicaid Spending during FFY 2001

StateTotal Medicaid Spending2001 Population Est.Spending per Capita
Wyoming$246,735,811 493,754$500
Idaho$706,213,899 1,320,585$535
Montana$509,348,850 905,382$563
South Dakota$472,298,828 758,324$623
North Dakota$415,967,653 636,550$653
New Hampshire$878,037,464 1,259,359$697
Delaware$593,522,480 796,599$745
Alaska$580,767,655 633,630$917
Vermont$604,562,212 612,978$986
Maine$1,349,675,068 1,284,470$1,051


STATE ONLY Medicaid spending.
(State budgets are straining under this major part of their total expenditures)
StateState Medicaid Spending2001 Population Est.Spending per Capita
Idaho$136,505,6761,320,585$103
Montana$119,333,404905,382$132
Wyoming$74,466,526493,754$151
South Dakota$116,171,353758,324$153
North Dakota$100,450,505636,550$158
Alaska$148,695,611633,630$235
Vermont$151,807,165612,978$248
Delaware$211,122,219796,599$265
Maine$377,784,3521,284,470$294
New Hampshire$384,071,9971,259,359$305

Source:
US Census for 2001 Estimated population
State Health Facts Online -- Medicaid and SCHIP
http://statehealthfacts.kff.org
« Last Edit: July 16, 2003, 10:05:31 pm by Joe (sequel to Solitar) »
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Kelton Baker

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Re:Medicaid spending by state: total and per capita
« Reply #1 on: July 17, 2003, 01:52:32 pm »

Good informative post, Joe.  

To help complement this research, since there are many factors which go into Medicaid spending, such as regional cost of hospitals, doctors fees, fraud, lawsuits, and  incidence of high-cost payments like organ transplants and head trauma; here is Medicaid Enrollment as a percentage of state population, 2001 :

(by rank among all states)

#2  Maine  (Maine tied with Florida :P )  

#5  North Dakota, South Dakota

#11 Montana, Vermont

#23 Delaware, New Hampshire

#35 Idaho, Wyoming

#51 Alaska (lowest in nation, also youngest population in nation, which likely factors into this)



Source: Kaiser Family Foundation State Health Facts online (see above)


There are a lot of different ways of looking into this, I covered this once before.  New Hampshire looks very bad by spending amounts, moderate by enrollment, poor by support for Medicaid, yet very good on some other measures like total Medicaid births per total births (something in which Alaska and Vermont are the absolute worst in).  


_____________________________________________
Total (Federal and State) Medicaid Spending per Enrollee, FFY1998 :
Rank in Nation, monetary amount
#2 New Hampshire $6,505  :(   :P  :'(
#5 North Dakota 5,450
#10 Maine 5,055
#14 Montana 4,342
#16 South Dakota 4,321
#20 Alaska 4,035
#24 Delaware 3,939
#25 Wyoming 3,918
#26 Idaho 3,769
#44 Vermont 2,880  :)
Average US 3,822
_________________________________________
Federal Matching Rate (FMAP) for Medicaid, FFY2001 (this is a federal dependancy variable but based on Medicaid rules, New Hampshire might just look good here only because they spend so much locally they've maxed-out the FMAP )
5 Montana 73  :(
6 Idaho 71
14 North Dakota 68
16 Maine 66
17 South Dakota 65
21 Vermont 62
23 Wyoming 61
33 Alaska 58  
40 Delaware 50
40 New Hampshire 50  :)
______________________________________________
Total Medicaid Enrollment, FFY1998   (need to compare to 1998 population figures to assess this one)

51 Wyoming 51,367
50 North Dakota 62,115
49 South Dakota 83,111
48 Alaska 87,873
47 Montana 93,298
46 New Hampshire 98,340
45 Delaware 105,153
44 Idaho 118,519
42 Vermont 131,639  >:(  (even without doing the math, I see that Vermont's pretty high for a lower population state).
38 Maine 195,839
__________________________________________
Eliminated Asset Test Under Medicaid for Children, 2002 (This is a good measure, since it is another hurdle people have to jump to receive taxpayer-funded aid).
ID - No  :)
MT - No  :)
All others, yes  ::)
_________________________________________
State-Only Medicaid Spending, FFY1998
( again, I would have to get some 1998 census figures to assess this one and the next one)
35 New Hampshire 384,071,997
36 Maine 377,784,352
43 Delaware 211,122,219
45 Vermont 151,807,165
46 Alaska 148,695,611
47 Idaho 136,505,676
48 Montana 119,333,404
49 South Dakota 116,171,353
50 North Dakota 100,450,505
51 Wyoming 74,466,526
_____________________________________________
Total (Federal and State) Medicaid Spending, FFY1998
39 New Hampshire 768,143,994
44 Idaho 448,884,170
45 Delaware 422,244,438
46 Montana 405,344,444
47 Vermont 401,393,879
48 Alaska 369,889,579
49 South Dakota 360,221,250
50 North Dakota 339,704,109
51 Wyoming 201,369,730


________________________________________
Births Financed by Medicaid as a Percent of Total Births, FFY1999 :
Listed by Rank in Nation

#3 Vermont 53.0     :(
#7 Alaska 47.5
 
#23 Wyoming 38.0
#24 North Dakota 37.7
#25 Montana 36.0
#29 Delaware 33.0
#32 South Dakota 31.0
#33 Maine 30.9
#34 Idaho 30.2  :)

#43 New Hampshire 21.0  :D woohoo!! Go New Hampshire!!


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Re:Medicaid spending by state: total and per capita
« Reply #2 on: July 17, 2003, 02:38:38 pm »

It seems that NH has become, or maybe always has been, a welfare state.  :(
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Re:Medicaid spending by state: total and per capita
« Reply #3 on: July 17, 2003, 02:45:55 pm »

Quote
It seems that NH has become, or maybe always has been, a welfare state.
All states are welfare states.
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Re:Medicaid spending by state: total and per capita
« Reply #4 on: July 17, 2003, 02:53:12 pm »

Quote
It seems that NH has become, or maybe always has been, a welfare state.
All states are welfare states.
And some more than others.  ;)
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Re:Medicaid spending by state: total and per capita
« Reply #5 on: July 17, 2003, 02:56:25 pm »

Quote
And some more than others.
I know... For example, some states receive must more in farm subsidies than others. Some states receive more money from the federal government than they give, while other states give more money than they receive.
« Last Edit: July 17, 2003, 02:57:38 pm by Sebastian »
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Re:Medicaid spending by state: total and per capita
« Reply #6 on: July 17, 2003, 03:00:27 pm »

Quote
And some more than others.
I know... For example, some states receive must more in farm subsidies than others. Some states receive more money from the federal government than they give, while other states give more money than they receive.
Are we talking about medicaid or are you diverting the topic?  :D
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Re:Medicaid spending by state: total and per capita
« Reply #7 on: July 17, 2003, 03:14:38 pm »

Quote
Are we talking about medicaid or are you diverting the topic?
Guilty as charged... (though it wasn't a conscious act)
« Last Edit: July 17, 2003, 03:15:05 pm by Sebastian »
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Re:Medicaid spending by state: total and per capita
« Reply #8 on: July 30, 2003, 08:08:10 pm »

It seems to me we have not gotten an explanation why New Hampshire spends three times more in State Medicaid than Idaho?
PER CAPITA no less! ???

Are those Medicaid recipients going to vote with us or agin us?
« Last Edit: July 30, 2003, 08:10:02 pm by Hank »
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Dalamar49

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Re:Medicaid spending by state: total and per capita
« Reply #9 on: September 05, 2003, 05:24:25 pm »

Thanks for bringing this thread back. I must have missed it the first time around.

Wow, NH really sucks when it comes to medical spending and cutting medicaid and such will be a tough job for the FSP'ers.  :o

Does anyone know what Governor Benson plans to do with medicaid spending? Hopefully he can shave some of the spending off before any porc's get there.....if NH is chosen....
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Re:Medicaid spending by state: total and per capita
« Reply #10 on: September 05, 2003, 06:29:11 pm »

According to LPNH chair John Babiarz, who's on the Efficiency in Government Commission, Craig Benson asked him to find $300 million in savings.  He was partially through his evaluation when I spoke to him in June, and he told me that he expects to find most of the savings in the Health and Human Services Department, which would include Medicaid.

Yes, NH doesn't come out on top on Medicaid measures.  [shrug]  It could be better, it could be worse.  No state's perfect.  NH's just the least rotten in a barrel of bad apples.  

The overall, big picture measures, such as taxation and size of government per capita, still have NH coming out on top by a sizable margin.  I think those are a lot more important than this type of limited-scope statistic.  

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Re:Medicaid spending by state: total and per capita
« Reply #11 on: September 06, 2003, 10:28:31 am »

I'm not saying that NH's medicaid spending kills its worthiness of being the FreeState, but it will be a problem converting any voters who receive much medicaid.

It sounds like Benson will do us the favor of cutting spending and absorbing the  brunt of the attack that'll happen when the medicaid recipients vote next election.

If NH legalizes medical marijuana many patients who use medicaid to pay for pay relievers can switch to using pot for pain relief, which'll be a ton cheaper.

True story: my neighbor suffers from crippling arthritis and her medication, which is paid through medicaid,  costs 18,000 a month. Her medication ran out a couple of days ago and she was in terrible pain. So, I gave her some pot and her pain evaporated instantly!!!  :o

Meaning: if Benson can push medical marijuana through then it'll be possible to save tons of money by switching pain sufferers off their costly medication and onto marijuana.
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