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Complete Health Indicator Report of Medical Assistance Expenditures

Definition

Total Medical Assistance Expenditures. This includes both the Medicaid program and Medicaid Health Clinics.

Numerator

Total Medical Assistance and Medicaid Health Clinic expenditures or recipients.

Denominator

Not applicable.

Why Is This Important?

Medicaid medical assistance expenditures comprise just over 80% of the annual budget of the Utah Department of Health (including both federal and state sources). As Utah's population has grown, so has the number of Utahns receiving assistance from Medicaid. The increase in Medicaid enrollees combined with increases in the costs of providing health care cause the Medicaid medical assistance expenditures to rise over time.

How Are We Doing?

Over the past several years, initiatives to increase services to Medicaid clients, such as cancer screening, healthy mothers and babies, well child care, dental care, and assistive medical devices, have contributed to increases in overall health care utilization and Medicaid expenditures. With increasing managed care penetration have come concerns about the financial solvency of plans and financial incentives that can limit necessary care to enrollees. Oversight and support of accountability through public reporting of financial and quality performance data are more important than ever to support an accountable and competitive market.

How Do We Compare With the U.S.?

Because of Utah's relatively healthy population, we have lower per capita total health care expenditures than most states (regardless of payor), and lower per capita Medicaid expenditures than most states.

Available Services

MEDICAID: In the Salt Lake City area, call '''(801) 538-6155'''.[[br]] In Utah, Idaho, Wyoming, Colorado, New Mexico, Arizona, and Nevada, call '''toll-free 1-800-662-9651'''.[[br]] From other states, call '''(801) 538-6155'''.[[br]] ''Medicaid Customer Service staff are available to take your calls Monday through Friday, 8:00 a.m. - 5:00 p.m. (Thursday hours are 11:00 a.m. - 5:00 p.m.) Closed on all state and federal holidays.'' The Children's Health Insurance Program (CHIP) is a state health insurance plan for children who do not have other insurance. It provides well-child exams, immunizations, doctor visits, hospital, emergency care, prescriptions, hearing and eye exams, mental health services and dental care. Preventative services (well-child visits, immunizations, and dental cleanings) do not require a co-pay.[[br]] For more information, call 1-877-KIDS-NOW (1-877-543-7669) or visit the [http://www.health.utah.gov/chip CHIP website]. Apply online, mail in an application or visit a DWS office. PCN (Primary Care Network) provides limited benefits for adults who qualify. PCN covers basic preventive services (primary care doctor visits, immunizations, prescriptions, basic dental care and an annual eye exam). Applications are only accepted during open enrollment sessions. Call 1-888-222-2542 or visit the [http://www.health.utah.gov/pcn PCN website] for more information.


Related Indicators

Relevant Population Characteristics

A large proportion of Utah's Medicaid expenditures go toward pregnant mothers, infants, and children in low-income households. Over one fourth of all births in Utah are paid by Utah's Medicaid program.

Related Relevant Population Characteristics Indicators:


Health Care System Factors

Rising health care costs overall are one factor causing Utah's Medicaid costs to increase. Shifts in the ecomony also influence the number of Utahns who are eligible to receive Medicaid-covered services.

Related Health Care System Factors Indicators:




Graphical Data Views

Total Medical Assistance Expenditures by Service Category and Fiscal Year, Utah, FY 2003-FY 2017

::chart - missing::

Medicaid Service CategoriesFiscal YearMillions of Dollars
Record Count: 95
Long-term Care2003$271.93
Long-term Care2004$274.11
Long-term Care2005$310.74
Long-term Care2006$318.97
Long-term Care2007$329.93
Long-term Care2008$361.04
Long-term Care2009$372.10
Long-term Care2010$370.92
Long-term Care2011$375.90
Long-term Care2012$392.53
Long-term Care2013$401.98
Long-term Care2014$427.11
Long-term Care2015$445.56
Long-term Care2016$488.39
Long-term Care2017$593.85
Hospital Services2003$238.18
Hospital Services2004$300.55
Hospital Services2005$336.25
Hospital Services2006$397.18
Hospital Services2007$393.73
Hospital Services2008$442.60
Hospital Services2009$447.62
Hospital Services2010$452.54
Hospital Services2011$617.07
Hospital Services2012$618.52
Hospital Services2013$491.08
Hospital Services2014$325.54
Hospital Services2015$315.39
Hospital Services2016$280.54
Hospital Services2017$292.26
Other Services2003$239.84
Other Services2004$287.87
Other Services2005$290.91
Other Services2006$331.96
Other Services2007$342.21
Other Services2008$388.97
Other Services2009$433.70
Other Services2010$444.85
Other Services2011$361.49
Other Services2012$430.99
Other Services2013$585.93
Other Services2014$415.23
Other Services2015$385.21
Other Services2016$363.18
Other Services2017$471.83
Managed Care2003$141.48
Managed Care2004$160.74
Managed Care2005$179.78
Managed Care2006$205.07
Managed Care2007$192.46
Managed Care2008$193.87
Managed Care2009$218.88
Managed Care2010$236.68
Managed Care2011$220.30
Managed Care2012$234.28
Managed Care2013$369.96
Managed Care2014$448.45
Managed Care2015$533.17
Managed Care2016$529.51
Managed Care2017$494.17
Pharmacy Services2003$158.31
Pharmacy Services2004$186.30
Pharmacy Services2005$217.24
Pharmacy Services2006$188.25
Pharmacy Services2007$139.62
Pharmacy Services2008$142.58
Pharmacy Services2009$143.28
Pharmacy Services2010$158.49
Pharmacy Services2011$172.72
Pharmacy Services2012$183.08
Pharmacy Services2013$136.97
Pharmacy Services2014$150.56
Pharmacy Services2015$171.58
Pharmacy Services2016$126.08
Pharmacy Services2017$152.40
Physician Services2003$46.61
Physician Services2004$64.86
Physician Services2005$62.27
Physician Services2006$76.67
Physician Services2007$88.20
Physician Services2008$94.67
Physician Services2009$107.67
Physician Services2010$120.00
Physician Services2011$120.94
Physician Services2012$109.76
Physician Services2013$98.74
Physician Services2014$79.50
Physician Services2015$87.20
Physician Services2016$64.90
Physician Services2017$63.89

Data Source

Division of Medicaid and Health Finance, Utah Department of Health


Total Medical Assistance Expenditures by County, Utah, Fiscal Year 2017

::chart - missing::

CountyMillions of Dollars
Record Count: 29
Beaver$6.20
Box Elder$44.27
Cache$87.72
Carbon$31.91
Daggett$0.11
Davis$200.77
Duchesne$21.66
Emery$8.47
Garfield$3.56
Grand$8.88
Iron$61.25
Juab$9.69
Kane$4.03
Millard$10.18
Morgan$3.08
Piute$0.99
Rich$1.07
Salt Lake$1,009.39
San Juan$34.15
Sanpete$21.77
Sevier$19.32
Summit$11.04
Tooele$47.71
Uintah$33.29
Utah$408.43
Wasatch$13.42
Washington$126.80
Wayne$5.73
Weber$222.27

Data Source

Division of Medicaid and Health Finance, Utah Department of Health


Total Medical Assistance Recipients by County, Utah, Fiscal Year 2017

::chart - missing::

CountyNumber of Recipients
Record Count: 29
Beaver799
Box Elder3,730
Cache7,984
Carbon3,225
Daggett56
Davis17,818
Duchesne3,072
Emery1,171
Garfield423
Grand1,126
Iron5,349
Juab1,316
Kane629
Millard1,518
Morgan335
Piute193
Rich129
Salt Lake74,040
San Juan3,235
Sanpete3,506
Sevier2,946
Summit1,105
Tooele4,914
Uintah4,482
Utah35,337
Wasatch1,210
Washington12,297
Wayne268
Weber18,955

Data Source

Division of Medicaid and Health Finance, Utah Department of Health

References and Community Resources

For data on state health care expenditures:[[br]] Centers for Medicare and Medicaid Services, Office of the Actuary, National Health Statistics Group (Health Care Expenditure Estimates)[[br]] [http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/index.html]

More Resources and Links

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

For an on-line medical dictionary, click on this Dictionary link.

Page Content Updated On 12/20/2017, Published on 12/20/2017
The information provided above is from the Department of Health's Center for Health Data IBIS-PH web site (http://ibis.health.state.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Sat, 21 July 2018 5:53:41 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Wed, 20 Dec 2017 16:13:12 MST