We have 2021 Annual and 2022 Q2 Data for Managed Long Term Care (MLTC) and Medicaid Managed Care (MMCOR). Contact us and let us know how you would like to use this Data and we will work up a quote.
Providing DataSets for MMC, MLTC, DUAL, HIV/SNP, CHP, EPP and PACE.
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We have MMCOR DataSets for 2021 Annual and 2022Q2 Processed and ready to purchase. The Data and Insights below are taken from those DataSets with 2018 and 2019 Annual DataSets appended. You can download an Excel Workbook with this Report and the underlying Aggregated Statewide Data here
Some Insights from MMCOR 2018 – 2021Q2:
- There has been a 8% increase in enrollment since 2018 in the TANF Child Medicaid population. 7% of this increase has occurred in the first half of 2021. While the spend PMPM for primary care declined 12% in 2020, there has been an 11% increase in the first of half of 2021. A very significant trend is the 76% increase in Outpatient Mental Health. While Primary care spend declined significantly in 2020 the spend on Mental health increased 27%.
- There has been a 26% increase in enrollment since 2018 in the adult Medicaid population. In 2021 the TANF Adult Medicaid revenue and total Medical hospital spend declined 7%. However in the first half of 2021 the spend has increased by 4% while the capitated revenue increased by 1%. Primary Care spend is showing an 18% 3 yr trend in spend. Much of this increase occurred in the first half of 2021 and could level off as the population begins to resume normal care after covid.
- The enrollment in SSI Medicaid has remained stable over 3 years as would be expected. The revenue PMPM 3 year trend has outpaced the medical spend by 2%. The significant portion of the 3 year trend of 42% spend in Personal Care occurred in 2019 and continued to grow through 2020.
Here is a look at the MLTC Community Program highlighting trends over the last 3 years (2017-2019) in PMPM at the Statewide level. CDPAP has increased by 133% for the period and represents 35% of Gross Medical and Hospital Expenses in 2019. Owners of our DataSet can drill down deeper by Plan and Region to determine the drivers (Cost and/or Utilization) behind these and many other trends.
- Tables and graphs created using our MLTC DataSet (appended) and User Created Measures.
- You can find more tables by navigating to our MLTC, MMCOR, Demos and Operational Reports Pages
Table 4C- from Medicaid Managed Care Operational Report for 2020 Q2 Period (February 3 — US Declares Public Health Emergency Covid-19.) Download a sample pdf and search for “Table 4C” to see this and other tables and data available.
This is an excel table created using Power Query, Power Pivot, Excel and our MMCOR 2020 Q2 DataSet. Owners of the DataSet could also filter for Plan (Plans file the same Values for all Regions).
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NYS Health Care Data Services
What we can do for you
Providing Health Care Professionals with DataSets derived from required Quarterly filings for all plans participating in Government Sponsored Programs (GSPs). We FOIL, Distill, Normalize and Enhance the Raw Data so that you don't have to. Costs are dependent on Program(s), Tables and Periods desired. DataSets are delivered via Excel or CSV formats. Call or Email us for more info.
What about Organizations that lack the ability or desire to functionalize our DataSets? NYSHCDATA can still help! We can provide custom, easy to use Excel based Data Cubes so that Health Care Professionals can get the the data and analysis they need. Cost will be dependent on Program(s), Tables and Periods desired. Call or Email us for more info.
Not familiar with the Operational Reports and the Data reported? Want to see some of the things they are used for? Take a look at some tables and charts that we have created to help Health Care Professionals visualize what can be done with our DataSets.
We have created Filterable and Searchable Listing of the Tables found in the most popular DataSets on our Operational Reports Page. If you can't find the Program you are looking for there, look in the Downloads section below to get a sample Report for the Program you are looking for.
See our downloads to find Sample PDFs and other files that can illustrate the mapping, tables and information contained in our DataSets and Data Cubes.
Downloads
Here are some files that will show you what type of Data gets reported. Click on the "Download" link to download.