Steve Gold's Treasured Bits of Information

Medicaid 2003 Expenditures - Information Bulletin # 68

Date Mailed: Wednesday, May 26th 2004 08:31 AM
Category: Medical

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Medicaid 2003 Expenditures - Information Bulletin # 68,   5/04

The national and state FY 2003 Medicaid Long Term Care and Home and 
Community-Based Waiver figures are now available. These numbers were compiled by 
MEDSTAT  from reports turned in to CMS (formerly HCFA) from the respective states.  
To compare 2002 with 2003, go to www.stevegoldada.com, click on Medical Assis
tance/Medicaid and see Bulletin #55.  If you want to compare 10 years, go to 
Bulletin  #36

There's some real GOOD NEWS:  Between FY 1990 and FY 2003, there has been a 
gigantic national shift in Medical Assistance (Medicaid/MA) long term 
expenditures. In FY 1990, 86% went to institutions and only 14% to the community.  

In FY 2003, the community expenditures INCREASED to make up 33.2 % of MA's 
long-term care (and decreased in institutional expenditures to 66.8%)!   

In dollar terms, that's $27.8 billion in FY 2003 on community based services 
and programs (Personal Care, Waivers and Home Health), up from $3.8 billion in 
1990 and up from $18.9 billion in 2000. 

Disability advocates should be really proud.  This GARGANTUAN, EARTH 
SHATTERING, ICE CRACKING shift occurred ONLY BECAUSE you have been fighting 
state-by-state, one fight by fight. Our voices are being heard.

In future Information Bulletins, we will break this down both by State and 
per capita so you will be able to tell how your state compares with other 
states. 

Here are the NATIONAL MEDICAID's  LONG TERM CARE DATA - 2003
(September 2002 through September 2003)
 
Total Medicaid ----------------------------  $ 259.6 billion
Total Long Term Care ------------------    $   83.84 billion (32.3% of total 
Medicaid)

Medicaid's Long Term Care $83.84 billion are expended solely on institutional 
versus community services.  Here is a comparison for 2003.

A.  INSTITUTIONAL expenditures:

Nursing Homes ---------------------------   $ 44.78 billion (a DECREASE!! The 
first time.)
ICF-MR (public and private)------------   $ 11.30 billion

    Total Institutional ---------------     $56.08 billion   (66.8 % of total 
Long Term Care)

B. COMMUNITY expenditures:

Personal Care ----------------------------     $ 6.30 billion
HCBS Waivers   -------------------------    $18.57 billion
Home Health ----------------------------      $ 2.89 billion
 
    Total Community --------------   $ 27.76 billion      (33.2% of total 
Long Term Care)
 
 
 Steve Gold, The Disability Odyssey continues

Back issues of other Information Bulletins are available online at 
http://www.stevegoldada.com 
with a searchable Archive at this site divided into different subjects.     

TO UNSUBSCRIBE FROM THE LIST: To Unsubscribe from this mailing list, send a 
message to majordomo@stevegoldada.com and in the body of the message include 
ONLY: unsubscribe stevegoldada  
TO SUBSCRIBE FROM THE LIST, send a message to majordomo@stevegoldada.com and 
in the body of the message include ONLY: subscribe stevegoldada 

Numbers are taken from a report by The MEDSTAT Group (www.medstat.com) 
compiled from data submitted by the states on CMS reports.
 

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<HTML><FONT FACE=3Darial,helvetica><HTML><FONT  SIZE=3D2 PTSIZE=3D10 FAMILY=
=3D"SANSSERIF" FACE=3D"Arial" LANG=3D"0">Medicaid 2003 Expenditures - Inform=
ation Bulletin # 68,&nbsp;&nbsp; 5/04<BR>
<BR>
The national and state FY 2003 Medicaid Long Term Care and Home and Communit=
y-Based Waiver figures are now available. These numbers were compiled by MED=
STAT&nbsp; from reports turned in to CMS (formerly HCFA) from the respective=
 states.&nbsp; To compare 2002 with 2003, go to www.stevegoldada.com, click=20=
on Medical Assistance/Medicaid and see Bulletin #55.&nbsp; If you want to co=
mpare 10 years, go to Bulletin&nbsp; #36<BR>
<BR>
There's some real GOOD NEWS:&nbsp; Between FY 1990 and FY 2003, there has be=
en a gigantic national shift in Medical Assistance (Medicaid/MA) long term e=
xpenditures. In FY 1990, 86% went to institutions and only 14% to the commun=
ity.&nbsp; <BR>
<BR>
In FY 2003, the community expenditures INCREASED to make up 33.2 % of MA's l=
ong-term care (and decreased in institutional expenditures to 66.8%)!&nbsp;&=
nbsp; <BR>
<BR>
In dollar terms, that's $27.8 billion in FY 2003 on community based services=
 and programs (Personal Care, Waivers and Home Health), up from $3.8 billion=
 in 1990 and up from $18.9 billion in 2000. <BR>
<BR>
Disability advocates should be really proud.&nbsp; This GARGANTUAN, EARTH SH=
ATTERING, ICE CRACKING shift occurred ONLY BECAUSE you have been fighting st=
ate-by-state, one fight by fight. Our voices are being heard.<BR>
<BR>
In future Information Bulletins, we will break this down both by State and p=
er capita so you will be able to tell how your state compares with other sta=
tes. <BR>
<BR>
Here are the NATIONAL MEDICAID's&nbsp; LONG TERM CARE DATA - 2003<BR>
(September 2002 through September 2003)<BR>
 <BR>
Total Medicaid ----------------------------&nbsp; $ 259.6 billion<BR>
Total Long Term Care ------------------&nbsp;&nbsp;&nbsp; $&nbsp;&nbsp; 83.8=
4 billion (32.3% of total Medicaid)<BR>
<BR>
Medicaid's Long Term Care $83.84 billion are expended solely on institutiona=
l versus community services.&nbsp; Here is a comparison for 2003.<BR>
<BR>
A.&nbsp; INSTITUTIONAL expenditures:<BR>
<BR>
Nursing Homes ---------------------------&nbsp;&nbsp; $ 44.78 billion (a DEC=
REASE!! The first time.)<BR>
ICF-MR (public and private)------------&nbsp;&nbsp; $ 11.30 billion<BR>
<BR>
    Total Institutional ---------------&nbsp;    $56.08 billion&nbsp;&nbsp;=20=
(66.8 % of total Long Term Care)<BR>
<BR>
B. COMMUNITY expenditures:<BR>
<BR>
Personal Care ----------------------------&nbsp;&nbsp;&nbsp;&nbsp; $ 6.30 bi=
llion<BR>
HCBS Waivers&nbsp;&nbsp; -------------------------&nbsp;&nbsp;&nbsp; $18.57=20=
billion<BR>
Home Health ----------------------------&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; $ 2.8=
9 billion<BR>
 <BR>
    Total Community --------------&nbsp;&nbsp; $ 27.76 billion&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp; (33.2% of total Long Term Care)<BR>
 <BR>
 <BR>
 Steve Gold, The Disability Odyssey continues<BR>
<BR>
Back issues of other Information Bulletins are available online at http://ww=
w.stevegoldada.com <BR>
with a searchable Archive at this site divided into different subjects.&nbsp=
;    <BR>
<BR>
TO UNSUBSCRIBE FROM THE LIST: To Unsubscribe from this mailing list, send a=20=
message to majordomo@stevegoldada.com and in the body of the message include=
 ONLY: unsubscribe stevegoldada&nbsp; <BR>
TO SUBSCRIBE FROM THE LIST, send a message to majordomo@stevegoldada.com and=
 in the body of the message include ONLY: subscribe stevegoldada <BR>
<BR>
Numbers are taken from a report by The MEDSTAT Group (www.medstat.com) compi=
led from data submitted by the states on CMS reports.<BR>
 <BR>
</FONT></HTML>
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