ABCDEFGHIJKLMNOPQRSTUVWXYZAA
1
2
State share, 2019: Potential annual increase under managed care: Potential total annual cost:Source: Notes:
3
Administrative Costs$73,000,000$135,000,000$208,000,000OK Policy analysis of OHCA data. Detailed in Admin/Profit tab. 15% of MCO budget can be spent on administration and MCO profits. This is the difference between current administration of 3.7% and the max of 15%. This does take into account expansion population.
4
Per Member Costs$1,701,876,307$715,925,242$2,417,801,549OK Policy analysis of data from MACPAC and KFF. Detailed in MemberCosts tab.This is the difference between OK's current yearly cost per enrollee and the average of surrounding non-expansion, managed care states (MO, KS, TX). This does not take into account expansion population, due to data limitations.
5
Increase to cover lost 100% FMAP funds$52,640,437$52,640,437Families USA analysis. This was developed by Families USA with available OK data and assumptions based on AZ's managed care experience.
6
7
Total$903,565,679
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100