BDO Seidman Study of Nation’s Medicaid Program

RESEARCH & DATA

BDO Seidman Study of Nation’s Medicaid Program – September 2007

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According to the BDO Seidman analysis, seniors’ long term care needs suffer the highest cost/reimbursement rate disparities in the following 10 states:

Rank

State

2007
Rate

2007 Projected
Cost

2007 Projected Per Patient-Day Shortfall

1

Illinois

$104.28

$134.49

($30.21)

2

New Jersey

$187.17

$215.81

($28.64)

3

Wisconsin

$135.60

$162.89

($27.29)

4

Minnesota

$147.49

$172.45

($24.96)

5

Vermont

$166.61

$190.93

($24.32)

6

New Hampshire

$176.01

$199.00

($22.99)

7

Missouri

$111.30

$133.92

($22.62)

8

Delaware

$217.38

$239.59

($22.21)

9

Washington¹

$140.10

$160.81

($20.71)

10

Massachusetts

$180.19

$200.04

($19.85)

21

Nebraska²

$137.51

$150.38

($12.87)

Notes

1. The shortfall for the state of Washington only represents a comparison of the operating cost to operating rate. Accurate allowable property cost data were not available so the comparison excludes property costs and the property component of the rate.

2. An independent rate analysis conducted by Seim, Johnson, Sestak, & Quist, LLP, estimates Nebraska’s projected 2007 per patient-day loss to be $14.77. This analysis recognizes that the calculation methodology does not consider the additional discount NHHSS receives from the nursing homes due to resident levels 35 & 36 being paid using the Medicaid assisted living rate rather than the nursing home rate.

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