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State Trends - Parity and Disparity

State Trends - Parity and Disparity. Sept 11, 2014. 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.

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State Trends - Parity and Disparity

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  1. State Trends - Parity and Disparity Sept 11, 2014

  2. Parity Or Disparity

  3. 8,019,763 • Enrolled National Rate 59.20% - Eligible Individuals Were Insured

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

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

  6. Wisconsin Could Save $206 Million (2013-2015)….If It had Expanded Medicaid by April 1, 2014. It Can Save $315 Million (2015 – 2017) If It Chooses To Expand

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

  8. Utah Inpatient Visits Per Plan Year 8 Outpatient Visits Per Plan Year 30 Most Limiting… Combined With Substance Abuse

  9. Mental Health Data • Standardized across States • Tracked Yearly • Adult and Youth

  10. 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

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

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

  13. Lowest Rate of Any Mental Illness DC

  14. Highest Rate of Any Mental Illness DC

  15. RankingPeople with Any Mental Illness- Census Data: Utah 1,968,099 X .2235439,870 individuals

  16. Lowest Rate Uninsured Adults withAny Mental Illness DC

  17. Highest Rate Uninsured Adults withAny Mental Illness DC

  18. Ranking People with Any Mental Illnesswho are UninsuredNevada2,094,509 X .027457,389 vs. 45,390 enrolled Jan - April

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

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

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

  22. Ranking for Children with “Unmet Need”

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

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

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

  26. Ranking Adults with “Unmet Need”

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

  28. Florida • SMI-3.75%. Lower CI at 3.17% Census Adult Population: 15316595 • 485,536 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

  29. Highest MH Expenditure Per Capita, 2012 DC

  30. Lowest MH Expenditure Per Capita, 2012 DC

  31. Ranking 2012 State Mental Health Expenditures Per Capita

  32. Lowest Ratio of Population to MH Provider DC

  33. Highest Ratio of Population to MH Provider DC

  34. RankingWorkforce Need

  35. Highest Rate Improved Social Connectedness DC

  36. Lowest Rate Improved Social Connectedness DC

  37. RankingImprovedSocial Connections

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

  39. From Last to First…

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

  41. From Last to First…

  42. 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

  43. Questions at End…tnguyen@mentalhealthamerica.net

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