Section 10 Medicaid and Medicare
(6 tables in this section)This section presents statistics concerning Medicaid and Medicare, government run health care programs. Specifically, these data concern the number of people with disabilities served under Medicaid and Medicare and the amount spent under each program on people with disabilities. The principal source of these data is the U.S. Department of Health and Human Services’ 2010 Medicare and Medicaid Statistical Supplement, produced by the Centers for Medicare and Medicaid Services.
Table 10.1 - Medicaid Payments by Disability Status (in millions of dollars): Fiscal Year 2008
In the Federal Fiscal Year 2008, the U.S. spent a total of $129,039,649,346 on Medicaid payments to people with disabilities, 43.5 percent of the total amount spent on all Medicaid payments. The District of Columbia spent the largest percentage of its Medicaid payments on payments to people with disabilities (51.6 percent), while Michigan spent the smallest percentage of its Medicaid payments on payments to people with disabilities (30 percent).
Table 10.2 - Medicaid Persons with Disabilities Served (Disabled Beneficiaries): Fiscal Year 2008
In the Federal Fiscal Year 2008, the U.S. Medicaid program served a total of 8,693,801 beneficiaries with disabilities, 14.8 percent of the total number of persons served by Medicaid. Kentucky had the largest percentage of Medicaid beneficiaries with disabilities (25.2 percent), while Wisconsin had the smallest percentage of Medicaid beneficiaries with disabilities (9.3 percent).
Table 10.3 - Medicare Payments by Type of Entitlement (in millions of dollars, unadjusted): 1973-2009
In the Federal Fiscal Year 2009, the U.S. Medicare program spent a total of $59,462,000,000 on people with disabilities, 18.7 percent of total Medicare expenditures. This was the largest percentage of Medicare spending on people with disabilities during any year between 1973 and 2009.
Table 10.4 - Medicare Enrollment by Type of Entitlement: July 1, 2009
As of July 1, 2009, the U.S. Medicare program served a total of 7,572,157 beneficiaries with disabilities, 16.7 percent of the total number of persons served by Medicare. Kentucky had the largest percentage of Medicare beneficiaries with disabilities (25.2 percent), while Hawaii had the smallest percentage of Medicare beneficiaries with disabilities (10.9 percent).
Table 10.5 - Change in Percent of Total Beneficiaries with Disabilities: Fiscal Year 2007 to Fiscal Year 2008
From the Federal Fiscal Year 2007 to Fiscal Year 2008, the percentage of total beneficiaries of Medicaid with disabilities (i.e., the total number of disabled Medicaid beneficiaries divided by the total number of Medicaid beneficiaries) stayed about the same in the U.S.. The percentage of Medicaid beneficiaries with disabilities increased the most in District of Columbia (by 2.4 percentage points) and decreased the most in Indiana (by 1.6 percentage points).
Table 10.6 - Change in Percent of Total Enrollees with Disabilities: 2008 to 2009
From 2008 to 2009, the percentage of total Medicare enrollees with disabilities (i.e., the total number of disabled Medicare enrollees divided by the total number of Medicare enrollees) in the U.S. increased by 0.2 percentage points. The percentage of Medicare enrollees with disabilities increased the most in Michigan (a 0.4 percentage point increase) and decreased the most in Alaska (a 0.4 percentage point decrease).
Medicare and Medicaid Statistical Supplement—The Medicare and Medicaid Statistical Supplement is a collection of statistics about Medicare, Medicaid, and other programs produced by the Centers for Medicare and Medicaid Services (CMS). The Supplement “includes charts and tables showing health expenditures for the entire U.S. population, characteristics of the covered populations, use of services, and expenditures under these programs” and is “one of the most comprehensive sources of information available on health care finance in the U.S.” The Supplement produces national and state level data annually.
Medicaid—Medicaid is a state administered, but federally required, program to provide health insurance to certain groups of people. States determine specific eligibility requirements, but in general low income individuals, families, children, and pregnant women are eligible for health care coverage under Medicaid. In some states, other groups (such as people with disabilities) are also eligible.
Medicare—Medicare is a Federal program that provides health care services to individuals 65 or older, individuals under age 65 with disabilities, and individuals of all ages with end stage renal failure. There are three programs within Medicare: Part A (hospital insurance), Part B (medical insurance), and Prescription Drug Coverage (new since January 1, 2006). Individuals pay into Part A throughout their careers, and then Part A covers that individual for hospital care. People who are eligible for Medicare have the opportunity to purchase Part B, or medical insurance that covers them for more than just hospital care.