Opportunities to Generate Better Value in Missouri’s Medicaid Program
- Last year, 1% of Medicaid patients in Missouri accounted for 20.8% of total hospital charges.
- For Medicaid managed care, 1% of patients accounted for 23.6% of hospital charges, while 1% of fee-for-service patients accounted for 19% of charges.
- High-cost fee-for-service patients were 20 years older and diagnosed with twice the number of chronic diseases during the year.
- 275 Medicaid beneficiaries each visited a hospital at least 52 times during fiscal year 2016, including one patient with 384 visits. Combined, these patients accounted for nearly 22,000 hospital visits and more than $100 million in charges.