The Future of Medicaid and SCHIP
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The Future of Medicaid and The Future of Medicaid and SCHIP SCHIP Debbie I. Chang, MPH Senior Vice President and Executive Director Child Health Services Research Meeting AcademyHealth June 25, 2005
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The Future of Medicaid and SCHIP. Debbie I. Chang, MPH Senior Vice President and Executive Director Child Health Services Research Meeting AcademyHealth June 25, 2005. Medicaid Enrollees and Expenditures. Total = 52 million people. Total = $252 billion. - PowerPoint PPT Presentation
Transcript of The Future of Medicaid and SCHIP
The Future of Medicaid and The Future of Medicaid and SCHIPSCHIP
Debbie I. Chang, MPHSenior Vice President and Executive Director
Child Health Services Research MeetingAcademyHealthJune 25, 2005
Medicaid Enrollees and Medicaid Enrollees and ExpendituresExpenditures
Enrollees/Expenditures by Group, 2003
48%
19%
27%
12%
16%
43%
9%26%
Enrollees Expenditures*
Elderly
Blind &Disabled
Adults
Children
Total = 52 million people
Total = $252 billion
*Total expenditures on benefits excludes DSH payments.
Source: Kaiser Foundation, “The Medicaid Program at a Glance” Fact Sheet, 2005
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Medicaid Provides Access to Medicaid Provides Access to Care for Vulnerable PopulationsCare for Vulnerable Populations
0%
10%
20%
30%
40%
50%
60%
70%
Americans Duals Non ElderlyDisabled
Children Births AIDS
Medicaid Enrollment Coverage by Group
Sources: “Medicaid and the Uninsured, Medicaid Spending Growth” Vernon Smith, et. al, Kaiser; and “Health Spending and Future of Medicaid”, remarks Alan Weil, sponsor Health Affairs.
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Medicaid is a Key Payor of a Medicaid is a Key Payor of a Wide Range of ServicesWide Range of Services
0%
10%
20%
30%
40%
50%
60%
70%
Rx HomeCare
CHC DisabledCare
MentalHealth
SafetyNets
LTC NH HIV/AIDSCare
Percent of Public and Private Service Expenditures Paid for by Medicaid
Sources: “Medicaid and the Uninsured, Medicaid Spending Growth” Vernon Smith, et. al, Kaiser; “Health Spending and Future of Medicaid”, remarks Alan Weil, sponsor Health Affairs; and AARP beyond 50, 2003 from GAO.
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Sources of Growth in Federal Sources of Growth in Federal Medicaid Expenditures, Medicaid Expenditures,
2001-20022001-2002
Elderly & Disabled
57%
UPL6%
Children15%
Adults13%
Other9% Factors Behind Expenditure Growth
for Beneficiaries
Adults Children Disabled &Elderly
Enrollment-related
Services-related
$15.7 Billion Increase
57%
43%
48%
52%
38%
62%
Source: Kaiser Foundation, “The Medicaid Program at a Glance” Fact Sheet, 2003
$2.1 billion
$2.3 billion
$9.0 billion
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Contact and Nemours InformationContact and Nemours Information
Contact Information: Debbie I. Chang, M.P.H.Senior Vice President and Executive DirectorNemours Health and Prevention Services252 Chapman RoadChristiana Bldg, Suite 200Newark, DE 19702302-444-9127
Nemours is an operating foundation focused on children providing primary and specialty health care throughout DE, northern Florida, and also parts of southeastern PA, and southern NJ. At these various operating sites, Nemours cares for more than 225,000 children annually through 870,000 patient visits.
In 2003, Nemours redefined its business and programs to include a more holistic approach to the child: health promotion as well as health care. Nemours Division of Health and Prevention Services (NHPS) became operational in January 2004 and will focus on child health promotion and disease prevention using a comprehensive and systematic approach to develop model programs to address the root causes of community health problems.
