DefinitionTotal Medical Assistance Expenditures. This includes both the Medicaid program and Medicaid Health Clinics.
NumeratorTotal Medical Assistance and Medicaid Health Clinic expenditures or recipients.
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.