MMCOR 2018-2021Q2 Insights

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.
Read More

MLTC Community PMPM

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
Read More

Table 4C- Net Worth Reconciliation

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).

Read More

2018 Annual Data (Year End) is Here

We have received 2018 Annual Data for Medicaid Managed Care, Managed Long Term Care, DUAL, FIDA and MAP. We are processing the Data now into DataSets that can be easily appended to prior purchases to get the most up to date Data. If you want to see what Data and Metrics are reported in the 2018 Annual DataSet just scroll down and take a look at the Sample Annual PDFs you can download. Additionally we also have 2019 Q2 Data that we may be able to include with Annual DataSets.