Health Care Reform IT’S COMPLEX!. Jeffery Thompson, MD MPH Chief Medical Officer Washington State Medicaid. Medicaid Expenditures by Service, 2007. DSH Payments 5.0%. Inpatient 15.0%. Home Health and Personal Care 15.0%. Physician/ Lab/ X-ray 3.7%. Mental Health 1.5%.
Jeffery Thompson, MD MPH
Chief Medical Officer
Washington State Medicaid
Home Health and Personal Care
Physician/ Lab/ X-ray 3.7%
Payments to Medicare
Payments to MCOs
Total = $319.7 billion
(WA State Medicaid ~$4 billion)
NOTE: Total may not add to 100% due to rounding. Excludes administrative spending, adjustments and payments to the territories.
SOURCE: Urban Institute estimates based on data from CMS (Form 64), prepared for the Kaiser Commission on Medicaid and the Uninsured.
Federal Poverty Line
(For a family of four is $21,200 per year in 2008)
NOTE: Medicaid income eligibility for most elderly and individuals with disabilities is based on the income threshold of Supplemental Security Income (SSI).
SOURCE: Based on a national survey conducted by the Center on Budget and Policy Priorities for KCMU, 2009.
19,228 (6.5) prescribed a psychotropic
Average Number Agents 1.6 (range 1 – 8)
Quality Thresholds # % users
AAP used in a child less than 5 151 (3%)
2 or more Antipsychotic Agents 807 (17 %)
Doses exceeding 2 times recommendations 31 ( 0.6%)
5 or more Psychotropics 567 (3%)
Gap In Antipsychotic RX > 20 days 1512 ( 38 %)
Let me conclude on a good note: WA is a good state and with King Counties Help it is becoming a Great StateWashington State: What happens when we work together?
0%Working Together the Variation is Less?% of Eligible with 5 or More Mental Health Drugs in Children Comparing 2004 and 2008
What can we learn from King County?