Georgia Medicaid Health Care Reform Presentation to Presented

Georgia Medicaid & Health Care Reform Presentation to: Presented by: Society of Neurological Surgeons (SNS) David A. Cook, Commissioner Georgia Department of Community Health (DCH) Date: 5/20/12

Georgia Medicaid - SFY 2011 • The Georgia ABD population accounts for 25% of Medicaid enrollment, but 54% of Medicaid spending in FY 2011 • Nationally, in 2011, ABD enrollees accounted for 23% of the Medicaid population, but accounted for nearly 64% of expenditures ABD FY 2011 Total Cost of Coverage * = $4. 1 B *Total Cost of Coverage includes Net Payment, Capitation Amount and Administrative Fees 2

$ 15, 00 $ 14, 50 $ 14, 00 $ 13, 50 $ 13, 00 $ 12, 50 $ 12, 00 $ 11, 50 $ 11, 00 $ 10, 50 $ 10, 00 $ 9, 50 $ 9, 00 $ 8, 50 $ 8, 00 $ 7, 50 $ 7, 00 $ 6, 50 $ 6, 00 $ 5, 50 $ 5, 00 $ 4, 50 $ 4, 00 $ 3, 50 $ 3, 00 $ 2, 50 $ 2, 00 $ 1, 50 $ 1, 00 $ 0, 50 $- 2 500 000 2 000 Enrollment 1 500 000 1 000 500 000 9 SF 7 Y 1 99 SF 8 Y 1 99 SF 9 Y 2 00 SF 0 Y 2 00 SF 1 Y 2 00 SF 2 Y 2 00 SF 3 Y 2 00 SF 4 Y 2 00 SF 5 Y 2 00 SF 6 Y 2 00 SF 7 Y 2 00 SF 8 Y 2 00 SF 9 Y 2 01 SF 0 Y 2 01 SF 1 Y 2 01 SF 2 Y 2 01 SF 3 Y 2 01 SF 4 Y 2 01 SF 5 Y 2 01 SF 6 Y 2 01 SF 7 Y 2 01 SF 8 Y 2 01 9 SF Y 1 9 96 - Y 1 9 SF Medicaid Expenditures (in billions) Medicaid Expenditures & Enrollment FY 1996 – FY 2019 (ACA included) Total Funds State Funds Enrollment