MEDICAID IN ALABAMA November 2018

35% 21%
4.8 of AL of AL
population is population is
million low-income covered by
total AL population (<200% FPL) Medicaid/CHIP

AL Expansion Uninsured Rates

Status: 15%
Not Adopted 13%
9% 9% 2013
Adults in 2016
Coverage Gap:
75,000 US AL

In AL, Medicaid Covers:

1 in 7 adults,
ages 19-64
43%
of adult Medicaid enrollees
4 in 9
children
are working in AL
2 in 3 nursing
home residents 56%
2 in 5 individuals of children with special
with disabilities health care needs are
1 in 5 Medicare covered by Medicaid in AL
beneficiaries
100% of FPL: $20,780 for a family of three; $12,140 for an individual
AL 317%

Median 146%
Eligibility 18%
74%
0%
Levels
(as a % of FPL) Children Pregnant Parents Childless Seniors & People
Women Adults w/ Disabilities
 AL Medicaid Enrollees & Expenditures Total AL Medicaid Spending by Service:
September 2018
$5.6 Billion
Disproportionate Share
Adults & Hospital Payments 9%
Children Payments to
Adults & 37% Medicare
Children 6%
68%

Elderly &
Disabled Long-
term Acute
Elderly & 63% Care* Care*
Disabled 27% 57%
32%
Managed
Enrollees Expenditures Care 2% * Fee-for-Service

Nationally Medicaid Pays For: States Have Flexibility in Their

Medicaid Design
$$$$$$ Eligibility
1 in 6 dollars in the health care system
Delivery Systems /
Provider Payments
$$$ Federal
>1 in 3 dollars to safety-net hospitals Standards
Premiums /
and health centers Cost Sharing

Benefits
$$ Waivers
1 in 2 dollars on long-term care

National Share of Those that Hold National Access & Satisfaction

Favorable Views of Medicaid Measures
Medicaid Private Uninsured

82% 86% 89%

74% 74% 70%
65%
53%
38%

Total Democrats Republicans Doctor Visit Among Satisfied with Health

Adults in Past Year Care in Past Year