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This report explores 30 years of Medicaid innovation in Arizona, emphasizing the Health Care Cost Containment System (AHCCCS). It analyzes fiscal years 2011 through 2015, focusing on inpatient and outpatient spending by hospital and different eligible populations, including TANF recipients and childless adults. The findings are adjusted to reflect program changes and project future trends in healthcare costs. This comprehensive evaluation is crucial for understanding the impact of Medicaid reforms on Arizona's health care landscape.
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30 Years of Medicaid Innovation Our first care is your health care Arizona Health Care Cost Containment System
Benefit Calculations • Pulled FY 2011 IP and OP spend by hospital • Prop 204 TANF • Childless Adults • TANF + CA between 19 and 64 w/o Medicare (to approximate Newly Eligibles) • Total Spend converted to PMPM and adjusted for program changes, trended forward to State FY 14 and 15 30 Years of Medicaid Innovation Our first care is your health care Arizona Health Care Cost Containment System
Trend Analysis 30 Years of Medicaid Innovation Our first care is your health care Arizona Health Care Cost Containment System
Trend Analysis, ctd. • Used budget assumptions for member months to apply monthly PMPM for: • Prop 204 TANF • CA • Newly Eligibles • Calculated estimated total IP & OP spend for FY 14 and FY 15 • Applied per hospital proportions, by population 30 Years of Medicaid Innovation Our first care is your health care Arizona Health Care Cost Containment System
