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Blog & News
Elizabeth Lukanen Presents on NGA Webinar, "Medicaid Expansion: Planning a Fiscal Impact Analysis"
November 05, 2015:October 10, 2012: SHADAC Senior Research Fellow Elizabeth Lukanen presented on webinar titled, “Medicaid Expansion: Planning a fiscal Impact Analysis,” hosted by the National Governors Association (NGA) in partnership with the Robert Wood Johnson Foundation’s State Network Initiative on September 27, 2012. The webinar was targeted toward state officials and highlighted the Medicaid Expansion Analysis Tool created by a team of State Network Technical providers that includes SHADAC.
The expansion analysis tool was created in order to facilitate an analysis of the fiscal considerations related to a state’s decision whether to expand Medicaid under the Affordable Care Act. The webinar walked through the cost and savings elements for Medicaid expansion financial analyses and through state-specific assumption considerations.
Ms. Lukanen was featured as one of the authors of the expansion analysis tool and emphasized the importance of distinguishing between the data inputs, research based estimates and subjective assumptions that go into such analysis. She noted, “Many aspects of this policy impact are unknown and will be driven by subjective assumptions. For this reason, it is important to document the thinking behind the assumptions chosen. Though policy makers may not need or want this level of detail, it is important to be able to justify and explain the final output.”
The slides from the webinar, along with an audio recording of the event, are available here.
Publication
Stakeholder Analysis of Medicaid Competitive Bidding in Minnesota
This report presents the results of a stakeholder analysis of the new competitive bidding process implemented in the seven-county Twin Cities, Minnesota metropolitan area for the 2012 Families and Children Contract for Medicaid (known as Medical Assistance or MA in Minnesota) and MinnesotaCare medical care services. While competitive bidding is an approach that has been used by other states around the country to contract with health plans serving public program enrollees, it is new to the State of Minnesota and represents a significant and meaningful change in the manner in which contracting has been handled in Minnesota for over a decade.
This report describes the approach SHADAC used to conduct the project, provides a summary of the Families and Children Contract procurement changes implemented in the metropolitan area, and presents and discusses key themes from interviews with stakeholders about the implementation of the competitive bidding process. We conclude with a set of recommendations for DHS to consider in future procurements in the metropolitan area and throughout the State.
Publication
Health Insurance Exchange
Presentation by Lynn Blewett at Mankato State University's Public Informational Forum on Options for Structure of our Health Care System on September 22, 2012.
Download the presentation here.
Publication
NGA Medicaid Expansion Analysis Tool Webinar
State Health Reform Assistance Network- Heather Howard; State Health Access Data Assistance Center- Elizabeth Lukanen; Center for Health Care Strategies- Shannon McMahon; Manatt Health Solutions- Deborah Bachrach
View a PDF of the webinar slides HERE.
Publication
Medicaid Expansion: Framing and Planning a Financial Impact Analysis
This brief containts a worksheet and considerations table that can serve as a guide for states considering their own Medicaid expansion analysis. Created by State Network experts at the State Health Access Data Assistance Center (SHADAC), Center for Health Care Strategies (CHCS), and Manatt Health Solutions, this analysis approach is limited to financial considerations related to the state’s decision to expand and therefore excludes many important financial aspects related to the ACA as a whole (e.g. remaining mandatory provisions).
State specific Medicaid expansion analysis should take into account existing program structure, available data sources (both state and national) and realistic assumptions about enrollment and costs.
States should also note within the analysis whether costs are directly related to the Medicaid expansion or if they are likely to occur despite expansion (e.g., the woodwork effect for individuals eligible but not currently enrolled).
