ahcccs update
DESCRIPTION
AHCCCS Update. Hospital Assessment & Litigation. Assessment Collaborating with stakeholders – model no negative system Assessed $75 m in FY 2014 - $233 m in FY 2015 FY 15 estimates - Will wait for several more data points – collaborate Litigation - PowerPoint PPT PresentationTRANSCRIPT
AHCCCS Update
Hospital Assessment & LitigationAssessment• Collaborating with stakeholders – model no negative
system• Assessed $75 m in FY 2014 - $233 m in FY 2015• FY 15 estimates - Will wait for several more data
points – collaborate Litigation• Lawsuit brought by 36 Republican Legislators• Won at Superior Court – Standing• Court of Appeals - 4-22-14 rules legislature has
standing • November 6th – State Supreme Court oral arguments
2
Medicaid Restoration
Reaching across Arizona to provide comprehensive quality health care for those in need
3
12/1/2013 10/1/2014 Change
Prop 204 Restoration 67,770 266,514 198,744
Adult Expansion 0 30,014 30,014
KidsCare 46,761 1,945 -44,816
Family Planning 5,105 0 -5,105
AHCCCS for Families & Children (1931) 672,135 746,715 74,580
All Other 505,379 596,228 90,849
Total Enrollment 1,297,150 1,641,416 344,266
AHCCCS Enrollment Growth
Feb 1
Marc
h 1
April 1
May
1Ju
ne 1Ju
ly 1
August
1
September 1
October 1
01000020000300004000050000600007000080000
Enrollment Growth
4Reaching across Arizona to provide comprehensive quality health care for those in need
Prop 204 Adult Restoration
5Reaching across Arizona to provide comprehensive quality health care for those in need
Jul-11
Aug-11
Sep-11
Nov-11
Dec-11Jan
-12
Mar-12
Apr-12
Jun-12Jul-1
2
Aug-12
Oct-12
Nov-12
Dec-12
Feb-13
Mar-13
May-13
Jun-13Jul-1
3
Sep-13
Oct-13
Nov-13Jan
-14
Feb-14
Apr-14
May-14
Jun-14
Aug-14
Sep-14
Oct-14
Dec-14Jan
-15
Mar-15
Apr-15
May-15
Jul-15
Aug-15
Oct-15
Nov-15
Dec-15
Feb-16
Mar-16
Apr-16
Jun-16 -
50,000
100,000
150,000
200,000
250,000
300,000
Actual FY15 Forecast FY16 Forecast
AHCCCS Adult Expansion
Reaching across Arizona to provide comprehensive quality health care for those in need
6
Jan-14
Feb-14
Mar-14
Apr-14
May-14
Jun-14Jul-1
4
Aug-14
Sep-14
Oct-14
Nov-14
Dec-14
Jan-15
Feb-15
Mar-15
Apr-15
May-15
Jun-15Jul-1
5
Aug-15
Sep-15
Oct-15
Nov-15
Dec-15
Jan-16
Feb-16
Mar-16
Apr-16
May-16
Jun-16 -
10,000
20,000
30,000
40,000
50,000
60,000
70,000
Actual FY15 Forecast FY16 Forecast
Prop 204 Parents
7Reaching across Arizona to provide comprehensive quality health care for those in need
Jul-11
Aug-11
Oct-11
Nov-11Jan
-12
Mar-12
Apr-12
Jun-12Jul-1
2
Sep-12
Nov-12
Dec-12
Feb-13
Mar-13
May-13
Jul-13
Aug-13
Oct-13
Nov-13Jan
-14
Mar-14
Apr-14
Jun-14
Aug-14
Sep-14
Nov-14
Dec-14
Feb-15
Apr-15
May-15
Jul-15
Aug-15
Oct-15
Dec-15
Jan-16
Mar-16
Apr-16
-
20,000
40,000
60,000
80,000
100,000
120,000
140,000
160,000
180,000
Actual 15 Forecast 16 Forecast
Prop 204 Combined Populations
8Reaching across Arizona to provide comprehensive quality health care for those in need
Jul-11
Aug-11
Oct-11
Nov-11Jan
-12
Mar-12
Apr-12
Jun-12Jul-1
2
Sep-12
Nov-12
Dec-12
Feb-13
Mar-13
May-13
Jul-13
Aug-13
Oct-13
Nov-13Jan
-14
Mar-14
Apr-14
Jun-14
Aug-14
Sep-14
Nov-14
Dec-14
Feb-15
Apr-15
May-15
Jul-15
Aug-15
Oct-15
Dec-15
Jan-16
Mar-16
Apr-16
-
50,000
100,000
150,000
200,000
250,000
300,000
350,000
400,000
450,000
500,000
Actual FY15 Forecast FY16 Forecast
Hospital Assessment Funding Levels• JLBC had estimated $204 m for FY
2015• AHCCCS levied $233 m for FY 2015• Current Estimate is $272 m for FY
2015 and $250 m for FY 2016• Many variables-options
o Enrollment o Health Plan Reconciliations o Payment Timing
9Reaching across Arizona to provide comprehensive quality health care for those in need
Budget Update• FY 14 State revenues were ($113) m below
forecast – growth rate 2.8%• K-12 Superior Court ruling for $317 m in FY
2015
Reaching across Arizona to provide comprehensive quality health care for those in need
10
In Millions FY 2015 FY 2016
Adopted Budget Projection 130 (237)
Oct. JLBC Revenue Changes (189) (667)
Revenue + K-12 Ruling (520) (1,002)
Budget Reduction Options1. Eligibility – Freezes not an option –
savings accrue to assessment2. Optional Services – None left3. Rate Reductions – 4. Administration – still one-third less
staff
11Reaching across Arizona to provide comprehensive quality health care for those in need
AHCCCS Spending 2001-2015
FY01 FY02 FY03 FY04 FY05 FY06 FY07 FY08 FY09 FY10 FY11 FY12 FY13 FY14 FY15 FY 16
1
3
5
7
9
11
13
Billion
s
12Reaching across Arizona to provide comprehensive quality health care for those in need
General Fund for AHCCCS Programs
FY 09 FY 10 FY 11 FY 12 FY 13 FY 14 FY 15 FY 160
500
1,000
1,500
2,000
2,500
DES/DHS GF2AHCCCS GF
13Reaching across Arizona to provide comprehensive quality health care for those in need