Managed Healthcare Executive - October 2008 - (Page 10)

State Report South Carolina COMMONWEALTH FUND STATE PERFORMANCE RANKING (2007): 33 THE SOUTH CAROLINA HEALTH Information Exchange (SHIEx) in July launched the rst phase of a no-cost Web tool that gives healthcare providers access to the medical histories of state Medicaid bene ciaries. The rst phase of SCHIEx, a password-protected Web site, features medical claims data for as many as 700,000 state Medicaid recipients. The tool allows physicians to see up to 10 year’s worth of a patient’s Medicaid claims, including past diagnoses, medications, provider visits and hospitalization history. Subsequent stages will allow for the sharing of data from existing electronic medical records systems, immunization records, lab results and hospital records, according to the South Carolina Department of Health and Human Services, which funded the project. In June, South Carolina lawmakers voted to override Gov. Mark Sanford’s (R) vetoes of several bills, including a measure to expand SCHIP. The bill provides an additional $21 million to expand SOUTH CAROLINA Number of residents: 4.2 million Uninsured: 17% Healthcare Expenditures (2004): $21.5 billion Average Annual Percent Growth in Expenditures per Capita (1991-2004): 6% Healthcare Expenditures per Capita: $5,114 the income eligibility limits for Partners for Healthy Children, the state’s version of SCHIP. Supporters of the bill said the measure will allow 88,000 additional children to enroll in the program. IMMIGRATION LAW South Carolina’s Illegal Immigration Reform Act, which took e ect in June, prohibits undocumented adult immigrants from receiving non-emergency medical care that is funded by the state. Prenatal care, immunizations and treatment for communicable diseases are excluded from the measure. In addition, clinics that are funded by membership dues, private donations and federal grants are not a ected by the law. The law requires that any adult seeking care at a state-funded health clinic or hospital provide an a davit that states the individual is in the country legally; however, the law does not require actual proof of citizenship. The a davit would later be veri ed through the Department of Homeland Security. Enforcement is complicated because federal law requires that all individuals receive emergency care, regardless of immigration status and because no agency has been assigned responsibility for enforcing the law. Still, fear might reduce the number of undocumented immigrants seeking care and might result in additional spending if they delay seeking care. HIV MEDICATIONS The South is not receiving enough federal funding to provide adequate HIV prevention and treatment, according to a report by the Southern AIDS Coalition. An increasing number of new HIV cases in the South, combined with “inadequate funding, resources and infrastructure,” have resulted in a “catastrophic situation in our public healthcare systems in the South,” the report says. MHE MHE Sources: Centers for Medicare & Medicaid Services; Urban Institute; Kaiser Family Foundation; U.S. Census Bureau; The Commonwealth Fund. DISTRIBUTION OF EXPENDITURES, 2004 (IN MILLIONS) Hospital Care $8,316 (39%) Physician/Professional Services $6,025 (28%) Drugs/Medical Nondurables $3,369 (16%) Nursing Home Care $1,236 (6%) Dental Services $1,003 (5%) Home Healthcare $422 (2%) Medical Durables $275 (1%) Other Personal Healthcare $804 (4%) Total $21,450 10 OCTOBER 2008 1% Medical Durables 4% Other 2% Home Healthcare SOURCES OF COVERAGE, 2005-2006 Other Public Individual Medicare Medicaid 2% 4% 13% 14% 17% 5% Dental 6% Nursing Home Uninsured 39% Hospital Care 16% Drugs Employer 51% 28% Physician/ Professional Services

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Managed Healthcare Executive - October 2008 For Your Benefit Editorial Advisors Contents News Analysis State Report Politics &�Policy Healthcare Reform Trends in 2009 Cost Control Strategies Predicted Premium Increase Top Challenges in 2009 IT System Integration Technology Innovation Disease Management Health Management Pharmacy Best Practices Technology Desktop Resource Ad/Edit Index Managed Care Outlook Statement of Ownership

Managed Healthcare Executive - October 2008

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