Skip to Main Content
State of the State Report PART 2
- Submission Part 2: Healthcare Delivery System: Due Oct 20th
- Medicaid Eligibility: Using this source: https://www.kff.org/medicaid/fact-sheet/where-are-states-today-medicaid-and-chip/ find the following information
- Income eligibility levels for Children in Medicaid/CHIP
- Income eligibility levels for pregnant women in Medicaid/CHIP
- Medicaid Income eligibility levels for Parents
- Medicaid Income eligibility levels for Other Adults
- If my state did not expand Medicaid, what is my coverage gap? https://www.kff.org/medicaid/issue-brief/the-coverage-gap-uninsured-poor-adults-in-states-that-do-not-expand-medicaid/
- Health Insurance Marketplace (Nongroup and Group Insurance)
- Provide a brief history of health insurance within your state, recent (if any) legislative actions and possible impacts on the health insurance system;
- Non-group Insurance: Health Insurance Marketplace (Exchanges): Collect the following data: state/federal run exchange; number of insurance carriers; avg. premium; trends in premium prices; Select a few plans on the exchange and discuss the tradoffs between price and network exclusivity
- Sources:
- https://www.healthinsurance.org/obamacare/;
- http://acasignups.net/
- Using this website: https://www.kff.org/interactive/subsidy-calculator/ create 4 fictional people and investigate how much it would cost for each person to purchase an individual health insurance plan (** you do not need to complete this question until the final PowerPoint presentation)
- Group Insurance: Employer sponsored health insurance (ESI): https://www.kff.org/other/state-indicator
- Collect and report: Average annual single premium per enrolled employee; Employee contribution; Employer Contribution, Total Annual Premium. Report the data for your state and the U.S. national averages
- Hospitals and Providers – The Landscape and Its Impact on Health Care Costs and Access (** section C is due on Nov 17th)
- Healthcare Costs:
- Using https://www.kff.org/state-category/health-costs-budgets/ collect the following data: (Use the U.S. National Rate as a comparison)
- Health Care Expenditures per capita by Service by State for Hospital Care; physician and clinical services, prescription drugs, nursing home care.
- Using this tool, https://www.healthcostinstitute.org/research/hmi/hmi-interactive, Select a metro area in your state, and report the price, use, price& use, and the hospital concentration. Make sure that you read the information about hospital concentration – discuss what the HHI means and its impact on your healthcare market. Provide this discussion as part of your Submission 3 Section C document.
- Quality:
- Using this tool, https://www.medicare.gov/hospitalcompare/search.html, select your state then select (3) acute care hospitals from different geographic locations in your state and choose 5 different data measures and compare your hospitals. Which hospitals had the highest ratings? Are these hospitals located in more urban settings? Higher income? Racially diverse?
- Using information for Leapfrog Hospital Safety Grade, https://www.hospitalsafetygrade.org/your-hospitals-safety-grade/state-rankings, how does your state rank compared to other states?
- Find 4 hospitals in your state where each hospital received a different grade (1 A level the remaining vary between B – F). Evaluate each hospital’s full score – what are the major problems with these hospitals who received a less than A rating?
- Access:
- Physician Workforce:
- Using this data source: https://www.aamc.org/data/workforce/reports/484392/2017-state-physician-workforce-data-report.html, describe the physician workforce in your state and how it compares to the country.
- Using the 2019 County Health Rankings data, collect the following information and summarize how these access to care measures impact the health of the residents in your state. https://www.countyhealthrankings.org
- Primary Care Physicians
- Dentists
- Mental Health Providers