State Medicaid Expenditures Per Enrollee: An OPEN MINDS Reference Guide

Understanding Medicaid spending per person is critical to developing a Medicaid market and value-based reimbursement strategy. Medicaid per person spending varies dramatically by consumer type and by state. Consumers with higher spending represent pain points for payers and reducing their health care costs under a value-based reimbursement strategy is easier. States with higher spending are more likely to need to reduce costs and have unique challenges such as geography, service availability, or consumer mix. Taken together these two variables can aid provider organizations in sizing the market and developing a market strategy.

This OPEN MINDS Reference Guide provides data on Medicaid spending per person by consumer type—aged, disabled, adult, expansion population, and children—by state, and trends over time.