Sept 11, 2014 State Trends - Parity and Disparity.

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Presentation transcript:

Sept 11, 2014 State Trends - Parity and Disparity

P arity Or D isparity

8,019,763 Enrolled National Rate 59.20% - Eligible Individuals Were Insured

Enrolled the Least…. 45,390 People 33.64% Eligible

Enrolled the Most…. 1,405,102 People 74.47% Eligible

Wisconsin Could Save $206 Million ( )….If It had Expanded Medicaid by April 1, It Can Save $315 Million (2015 – 2017) If It Chooses To Expand

State Benchmarks of Essential Health Benefits – Marketplace 22 States Have Quantitative Limits on Mental Health Services

U tah Most Limiting… 8 Outpatient Visits Per Plan Year Combined With Substance Abuse 30 Inpatient Visits Per Plan Year

Standardized across States Tracked Yearly Adult and Youth Mental Health Data

Who’s In Need? Any Mental Illness Serious Mental Illness Dually Diagnosed with Substance Use Children with Serious Emotional Disturbance Do They Get Help? Who Needed But Did Not Receive Treatment Who is Insured Provider Shortages State Expenditures

How Do They Get Help? Community Utilization Residential and Inpatient Treatment Treatment at School Peer Support Services Do They Get Better? Employment Housing Community Inclusion

Example Data Sets The National Survey on Drug Use and Health The Uniform Reporting System National Survey of Children’s Health National Provider Identification

Lowest Rate of Any Mental Illness DC

Highest Rate of Any Mental Illness DC

Ranking People with Any Mental Illness - Census Data: Utah 1,968,099 X ,870 individuals

Lowest Rate Uninsured Adults with Any Mental Illness DC

Highest Rate Uninsured Adults with Any Mental Illness DC

Ranking People with Any Mental Illness who are Uninsured Nevada 2,094,509 X ,389 vs. 45,390 enrolled Jan - April

How They Compare…8 States Overlap Any Mental Illness Any Mental Illness/Uninsured

Lowest Rate of Children Who Needed but Didn’t Receive Services DC

Bottom States – Rate of Children Who Needed but Didn’t Receive Services DC

Ranking for Children with “Unmet Need”

*Condition prevalence in 2011/12 was asked using two questions: prevalence of conditions ever or currently. Only current prevalence is reported here. Children Who Needed MH Treatment/Did Not Receive Defined by CDC as: Children with Special Healthcare Needs % Among

Top States – Rate of Adults Who Needed but Didn’t Receive Services DC

Highest Rate of Adults Who Needed but Didn’t Receive Services

Ranking Adults with “Unmet Need”

How They Compare…8 States Overlap Highest Uninsured/ AMI Highest “Unmet Need”

Florida SMI-3.75%. Lower CI at 3.17% Census Adult Population: ,536 people with Serious Mental Illness. Most Recent Survey of Florida State Mental Health Agency Reported they served 319,190 individuals Unmet Need – 2.55% 575,903 people reporting Unmet Need Serving a significant portion of those with SMI. Still much to go, to help with Unmet Need

Highest MH Expenditure Per Capita, 2012 DC

Lowest MH Expenditure Per Capita, 2012 DC

Ranking 2012 State Mental Health Expenditures Per Capita

Lowest Ratio of Population to MH Provider DC

Highest Ratio of Population to MH Provider DC

Ranking Workforce Need

Highest Rate Improved Social Connectedness DC

Lowest Rate Improved Social Connectedness DC

Ranking Improved Social Connections

Putting It All Together….the Rankings Any Mental Illness AMI and Uninsured Children with Unmet Need Adults with Unmet Needs State Mental Health Expenditures Workforce Needs Improved Social Connectedness Georgia Ranking 29th 4th 45th 16th 46 th 49 th 8th

From Last to First…

3 1 2 Vermont Maine Connecticut And The Winner Is….

From Last to First…

Next Steps? Finish Report Infographics and Advocacy Track Chosen Measures Over Time Identify Effect of Parity Identify Ongoing Disparity Input on Measures? Yearly State Comparison Data Adult and Youth

Questions at End…