Bill Davenhall

GIS: Bringing Medicaid

Strategy into Focus

NCSL

Annual Meeting

Washington, DC

December 2012

GIS is about Place Everything happens somewhere! ^

…and understanding WHERE things happens can save money.

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GIS Creates Data Layers . . . that links data about our geography

Street Addresses (specific places)

Land Features (lakes, rivers)

Facilities (buildings, bridges)

Administrative Boundaries (postal areas)

Space Attributes (travel patterns)

Population Attributes (density)

geography

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Where we live, work and play (our space)

Community Health (morbidity rates)

Environmental Exposures (air. Water, soil)

Livability (quality of life)

Threats and Risks (agents, vectors)

Time (history and future)

GIS Creates Data Layers … that links data about our unique relationship with place

place, person, time

It’s all about the view!

HH with “x”

Medicaid recipients

HH Count Total

Claims ($M) Claims$/Member

1 419,800 $3,460 $8,200

2 133,200 $890 $3,300

3 69,800 $410 $2,000

4 28,300 $210 $1,900

5 or more 13,400 $130 $1,700

37% of all Medicaid Households

have more than one recipient

receiving services

Source: Louisiana Medicaid Claims (rounded), FY2010/11

HH w X Medicaid

Recipients 0-0.5 mi. 0.5-1 mi. 1-2 mi. 2-4 mi. 4-8 mi. >=8 mi.

1 $12,500 $7,500 $7,700 $7,200 $7,200 $6,200

2 $5,100 $3,100 $3,200 $2,800 $3,000 $3,000

3 $1,900 $1,900 $1,900 $1,900 $2,000 $2,100

4 $1,800 $1,800 $1,800 $1,800 $2,000 $2,200

5 or more $1,700 $1,700 $1,600 $1,700 $1,800 $1,900

Source: Louisiana Medicaid Claims (rounded), FY2010/11

Close Proximity to Hospital

Increases Medicaid Costs Dramatically

The newest “clinical” health data: Street Address

123 Main Street Any Town, State, Zip

Unlocks Information

about Health and Social

Context Relevant to

Desirable Outcomes

Income

Service

Demand Neighborhood

Needs

Education

Lifestyle

Community

Partners Transportation

Walkability

Scores

Nutrition

Scores

Utilization

Rates Environmental

Exposures

Demographic

Change

Health and Social

Providers

Child Care

GIS

Health and well-being usually begin here…

8%

$46b

State Profile

• Nationally: 1:12 (8.1%) born at low or very low birth weight. Medicaid pays for 40% of these births.

• In Louisiana: 1:9 (11.3%, avg. = 7,264 per year; 2006-2010) were born at a “low birth weight” (LBW). Medicaid paid for 71% of LBW births in 2011.

• The March of Dimes reported that a LBW infant can cost $45k more, on average, to deliver than a healthy infant and is less likely to finish high school.

Targeted Community: New Orleans, LA

Census 2010 Blocks

New Orleans, LA

Population Density

>=100 persons/km2

(>99% of population)

Low Birth Weight Babies

Area Name New Orleans, 2006-2010 New Orleans, 2011

Births LBW LBW% Births LBW LBW%

Behrman 587 100 17.0% 102 16 15.7%

Holly Grove 361 82 22.7% 108 16 14.8%

Iberville 341 67 19.6% 55 3 5.5%

Plum Orchard 135 36 26.7% 39 4 10.3%

Read Blvd 174 38 21.8% 33 3 9.1%

Seventh Ward 277 48 17.3% 49 11 22.4%

Remainder 17,480 2,058 11.8% 4,065 463 11.4%

Total 19,355 2,429 12.5% 4,451 516 11.6%

Targets

Households

A low birth weight infant cost

Medicaid on average $45,000 more.

…we had 4,500 of those last year!

TODAY Louisiana knows where their low birth weight

babies were born last night, but TOMORROW they will

will PREDICT where they need to mobilize resources to create

better birth outcomes - using GIS

^

• Embed address verification and geocoding into workflows.

• Begin householding of utilization data.

• Use geographic modeling tools to predict utilization.

• Accelerate critical data acquisition and analytical cycles.

My Place History app – for iPod & iPad

.

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esri.com\geomedicine

Apple Store – Search: esri – pick orange button

To Learn More

http://www.esri.com/library/ebooks/geomedicine.pdf

How many will you choose to pick up?

Get Focused Fast!