The Business Office (BO) tracks spending and enrollment trends by Medicaid Eligibility Group (MEG) and Category of Service (COS) as well as anticipated one-time costs, coordinates with the partners listed above, and creates a budget estimate for the fiscal year. Then, applying the historical spending trends that most closely resemble current experience, break down that annual amount into weekly spending estimates to create the 52 Points of Light dashboard.
The current overall trend for enrollment is up in some major MEGs, while spending is expected to reduce in some of the non-MEG based costs such as Buy in and Disproportionate Hospital Share (DSH). These factors combined create an overall up for both enrollment and spending budget each fiscal year.
DVHA aims for programmatic spending to be within 1% of appropriation. This KPI is informational only. The complexity of healthcare spending is largely outside of the scope of control of finance.
Last updated: 09/15/2020