Western New York Care Coordination Program
About the WNYCCP
Upcoming Events
Transformation Initiatives
Results
Peer and Family
In the News
Library Resources
Related Links
Contact Information
Return Home

Performance Based on Medicaid Claims Data

The following link provides updates to Medicaid Claims data through September 2005.

Medicaid Claims Data 2000-2003 (below)

The outcome information presented in this section comes from the Medicaid Claims data for the years 2000 through 2003. This information was based on data from 601 individuals enrolled in the program for the full 2003 year. The comparison of data for previous years was based on the same group of people who received services in those years. This included 587 of them in 2002, 513 in 2001, and 453 in 2000. The key outcomes are listed below:

  • The average cost per person enrolled for Medicaid paid mental health services during the first full year of enrollment (2003) decreased by $1739 per person when compared to costs in 2002, the year prior to enrollment.
  • The average cost for the WNYCCP enrollee was down $1302 compared to the average of the three prior years (2000, 2001, 2002), which is a decrease of 10%.
  • The average cost of inpatient services (hospitalization) for people enrolled in 2003 was down 48% when compared to 2002 costs.
  • The cost of emergency services was down 13% compared to 2002.
  • The cost of community support programs was up by 44% compared to 2002.
  • Mental health outpatient costs were also down 8% compared to 2002.

A comparison was made between WNYCCP enrollees and individuals who received generic case management (Intensive or Supportive case management services without WNYCCP) and how they compared between 2002 and 2003 (the first full year of enrollment). The results are stated below:

  • The average cost per care coordination enrollee who received inpatient service decreased by $3595 between 2002 and 2003, while those patients with generic case management decreased only $236.
  • The difference in average cost between the two groups went from $0 in 2001 (prior to WNYCCP) to $669 in 2002, to $4028 in 2003.

At the time of this writing, the 2004 Medicaid Claims data has not yet been fully analyzed. However, initial data appears to be trending in the same positive direction for inpatient, emergency, and outpatient costs with a continued increase in community support program costs.

 

 


About Us  |  Events  |  Initiatives  |  Results  |  Peer & Family  |  News  |  Resources  |  Links  |  Contact  |  Home