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Medicaid Managed Care - U.S. Senate Special Committee on Aging

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Ba41am<br />

431<br />

Table : Growth In Mediaid<br />

L<strong>on</strong>g-Term Camr Costa for Pers<strong>on</strong>s DUollrs in billi<strong>on</strong>s<br />

With D.vsopn ntald Dlsablltlea, 1990. Progrnm 1i1 19n4 in<br />

1994, and 19985 To 88A78 $12 06 113M<br />

State Costs and Cost<br />

Increases Vary<br />

Table 4: Per Capita Costa and Cost<br />

Incries, Very<br />

Warir prograrme 0.846 2.862 3.547<br />

1CF/MR program 7.632 9.222 9 675<br />

Note. Number sty rnr add due t r<strong>on</strong>dhij<br />

Voer not inda root br Aro, -nf 1115 ioer proant to sraioS h &emornatie satto.<br />

Souroe: R-esarch and Training Center <strong>on</strong> Crnranity Uing, Instute an Ca-neanity<br />

InegreliorAJAP, College of Edaatirn and Hnien Dsehpm<strong>on</strong>. UnW-etrey of Minneata.<br />

Mirnneopds.<br />

In the three states we visited, average per capita costs and average<br />

increases in per capita costs varied according to eacht state's waiver<br />

program strategy and other factors (see table 4). Florida per capita waiver<br />

costS, for example, were am<strong>on</strong>g the lowest in the nati<strong>on</strong>, in part, as a result<br />

of the state's strategy to expand services to more pers<strong>on</strong>s. According to<br />

state officials, limited resources were stretched to cover as many people<br />

as possible by providing each individual with the level of services required<br />

to prevent instituti<strong>on</strong>alizati<strong>on</strong> rather than providing all the services from<br />

which an individual might benefit<br />

Average ennr pen<br />

Inrase In Par capita cost,<br />

Per Capita costa, 194 1990-14<br />

Wedvr ICF/MR Wahivr ICFMR<br />

progrem program progrem program<br />

United States S24,824 864,892 4<br />

Florida 9,955 62,815 9 8<br />

Mirhigan 27,537 E66361 5 1<br />

Rhordelsland 49.884 117,118 27 11<br />

Soiree: Caiuated kat noatnna date obairoed tnn rh Rosentai e TrenrSg Canter an<br />

Ca Linury irng. insitute an Carsunity lnrtgreattWnAP. Cadige oa Edmactir<strong>on</strong> end Hanian<br />

Devetopinet. Unieredy of Mlnensot, Mkte apois, and stte dat praided by rtlte. atia.<br />

aecauso 1995 data -to rat *enerbte irom rhe states, we u-se tod ntiritel dote icr ooiperni<strong>on</strong><br />

paiposee See eppendo I tct detaile<strong>on</strong> netanret end stte data -oPotsan.<br />

PqM 12<br />

PgQsHIU 42-no Wds Pitrs brNns r-<br />

l Dierte

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