I am so sick of hearing about how our Medicaid system is “broken” and that costs are the reason NC can’t give teachers pay raises, we can’t fund our community college system and we can’t do whatever the state leadership doesn’t want to fund. While it increasingly seems Governor McCrory’s administration is trying to break Medicaid by not paying providers on time, mailing out Medicaid cards to the wrong kids and so on, a report today from the NC General Assembly’s Fiscal Research Division makes clear what a spectacular job NC Medicaid has been doing over the past several years to control costs. Direct from the state’s presentation today are three key points:
Based on PMPM trends, NC appears to have initiated more aggressive/effective measures to control increases in spending than other states since 2008.
North Carolina spending on Medicaid claims has declined overall by 11.6% on a per member per month (PMPM) basis since 2008.
US PMPM Spending on Medicaid has increased overall by 6% over the same period.
Got that? Since 2008, in the real world NC Medicaid has been doing a great job controlling costs. This has been with both Democrats and Republicans controlling the General Assembly. The fact that we have had such a significant decline in our spending while overall Medicaid claims have been increasing so much nationally is simply amazing. So let’s not hear any more about the “broken” system that is saving taxpayers hundreds of millions of dollars and delivering care to over a million of our most vulnerable citizens.