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View from Maryland:  Impact of Medicare Part B Premium Incr View from Maryland:  Impact of Medicare Part B Premium Incr

View from Maryland: Impact of Medicare Part B Premium Incr - PowerPoint Presentation

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View from Maryland: Impact of Medicare Part B Premium Incr - PPT Presentation

National Coalition on Health Care October 13 2015 Shannon M McMahon MPA Deputy Secretary Health Care Financing Maryland Department of Health and Mental Hygiene ShannonMcMahonMarylandgov ID: 537501

medicare medicaid million state medicaid medicare state million maryland premium premiums pays spending national impact part services 2015 000

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View from Maryland: Impact of Medicare Part B Premium Increases National Coalition on Health CareOctober 13, 2015

Shannon M. McMahon, MPADeputy Secretary, Health Care FinancingMaryland Department of Health and Mental HygieneShannon.McMahon@Maryland.gov410-767-5807

1Slide2

Maryland Medicaid Facts at a GlanceBackground on Medicaid Premium Payment for Low Income Medicare Beneficiaries

Selected National Impact of Premium IncreasesMaryland Impact of Premium IncreasesScope of Presentation

2Slide3

3Maryland Medicaid: Facts at a Glance

As of January 2015, Medicaid covers 23% of all Maryland residentsAs of January 2015, Medicaid or MCHP covers 39% of all Maryland childrenIn 2014, Medicaid paid for 73% of all nursing facility days in the stateThere are currently 55,000 providers enrolled in Maryland Medicaid

In federal fiscal year 2014, Medicaid reimbursed services in the amount of $8.9 billion Statewide, including funding of DDA, MHA, and MSDE Medicaid services

The projected Statewide Medicaid spending in FY 2015 exceeds $10 billion Slide4

State Medicaid programs cover premiums for low-income Medicare beneficiariesSome individuals are enrolled in both Medicaid and Medicare. They are known as “dual eligibles.”Duals are a mandatory coverage group under 1902(a)(10)(E

) of the Social Security Act. There are two principal groups of duals:“Full duals” are individuals who have full Medicaid & Medicare coverage. Medicaid pays their Medicare premiums and co-pays, and pays for Medicaid services like long term care.“Partial duals” like Qualified Medicare Beneficiaries (QMB) and Specified Low-income Medicare Beneficiaries (SLMB). Medicaid pays for Medicare Part B premiums and, in the case of QMB, co-pays for Medicare services and Part A premiums.As such, Medicaid covers their premiums and co-pays (as well as Medicaid services).Duals are not under the hold harmless rule, so states will have to pay for the premium increase.

4Slide5

Medicare Part B premium increases will affect all state Medicaid programs

California anticipates a $300 million more in state spending.Colorado expects $45 million increase in state dollars.

Rhode Island would spend $10.8 million more in state money.

Source: National Association of Medicaid Directors (NAMD)

Wisconsin would face $31.5 million in new state costs.

Wyoming would spend $6.6 million in additional spending – a sum that would single-handedly eliminate all the savings the state generated in other areas of Medicaid.

5Slide6

The impact on Maryland will be significantMaryland has approximately 137,000 dual eligibles.The estimated premium increase from $105 to $159 would result in $48 million in new state spending.

The grand total for premiums in state spending will be $139 million. 6Slide7

State spending on Medicare could affect other prioritiesIn Maryland’s last budget, the state invested similar sums of money in other efforts, including:$34.2 million to build Readiness Center facilities in three counties to support the National Guard.

$39.4 million for the Chesapeake and Atlantic Coastal Bays 2010 Trust Fund to support non-point source pollution control projects$40.1 million to provide cash, medical and housing benefits to approximately 18,000 individuals with disabilities

7Slide8

QUESTIONS? 8