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Medicaid in Oklahoma

E N Brandt1, R W Broyles, B Demps

  • 1Center for Health Policy Research and Development, University of Oklahoma Health Sciences Center, Oklahoma City 73190.

The Journal of the Oklahoma State Medical Association
|May 1, 1994
PubMed
Summary
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Medicaid expenditures in Oklahoma rose nearly 98% from 1986-1991, driven by inpatient and nursing home care costs. The aged and disabled populations accounted for the majority of this significant increase in state Medicaid spending.

Area of Science:

  • Health Economics
  • Public Health Policy
  • Healthcare Management

Background:

  • Medicaid expenditures represent a significant portion of healthcare spending.
  • Understanding trends in Medicaid spending is crucial for policy and resource allocation.
  • Oklahoma's Medicaid spending trends require specific analysis within the national context.

Purpose of the Study:

  • To analyze the growth of Medicaid expenditures in Oklahoma between 1986 and 1991.
  • To identify the primary drivers of increased Medicaid spending in Oklahoma during the study period.
  • To compare Oklahoma's Medicaid expenditure growth to the national average.

Main Methods:

  • Analysis of Medicaid expenditure data from 1986 to 1991.
  • Calculation of percentage increases in total expenditures.

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  • Decomposition of expenditure increases by service type (inpatient, nursing home) and beneficiary group (aged, disabled, AFDC recipients).

    • Main Results:

    • Oklahoma Medicaid expenditures increased by 98.2% from 1986-1991, compared to 111.0% nationally.
    • Inpatient care (21.6%) and nursing home care (25.9%) were major contributors to Oklahoma's spending increase.
    • The aged (34.9%) and disabled (31.4%) beneficiaries constituted the largest portions of the expenditure growth, while AFDC recipients represented 19.1%.

    Conclusions:

    • Oklahoma experienced substantial Medicaid expenditure growth, though slightly less than the national average during 1986-1991.
    • Increased utilization and costs associated with long-term care (nursing homes) and inpatient services significantly impacted Oklahoma's Medicaid budget.
    • Demographic shifts, particularly the growing needs of the aged and disabled populations, were the primary drivers of rising Medicaid costs in Oklahoma.