MMCOR 2018-2021Q2 Insights

We have MMCOR DataSets for 2020 Annual and 2021Q2 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.
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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).

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