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. 2011 Jan;101(1):157–164. doi: 10.2105/AJPH.2009.182287

TABLE 3.

Estimated Medical Expenditure Savings Following a 5% Reduction in Prevalence of Short-Run and Medium-Run Modifiable Medical Conditions, by State

Short Run Savings (in Millions)
Medium Run Savings (in Millions)
State Total Savings, $ Medicaid Total, $ Medicaid State Portion, $ Medicaid Federal Portion, $ Medicare Savings, $ Other Payer Savings, $ Total Savings, $ Medicaid Total, $ Medicaid State Portion, $ Medicaid Federal Portion, $ Medicare Savings, $ Other Payer Savings, $
Alabama 150.9 13.5 4.4 9.1 14.8 122.5 449.1 35.9 11.6 24.3 143.0 270.3
Alaska 22.3 4.7 2.2 2.4 1.8 15.9 57.5 9.8 4.7 5.2 9.0 38.6
Arizona 124.3 26.7 9.0 17.7 25.4 72.2 351.2 65.4 22.1 43.3 125.3 160.5
Arkansas 83.1 7.6 2.1 5.6 8.0 67.4 252.8 20.5 5.5 15.0 80.8 151.5
California 882.0 157.0 78.5 78.5 166.0 559.0 2493.1 373.0 186.5 186.5 818.9 1301.2
Colorado 105.6 12.6 6.3 6.3 15.7 77.2 300.9 30.9 15.5 15.5 83.3 186.6
Connecticut 71.0 12.9 6.4 6.4 17.5 40.6 220.9 36.0 18.0 18.0 100.4 84.5
Delaware 33.2 4.0 2.0 2.0 2.7 26.5 92.4 10.0 5.0 5.0 23.9 58.5
District of Columbia 35.3 7.2 2.2 5.0 2.5 25.6 82.0 15.8 4.7 11.1 15.4 50.7
Florida 633.8 48.8 21.1 27.7 71.6 513.4 1856.6 123.4 53.3 70.1 631.3 1101.9
Georgia 251.2 31.3 11.6 19.8 20.4 199.4 678.9 79.3 29.3 50.0 178.9 420.7
Hawaii 41.6 5.7 2.5 3.2 6.9 29.0 93.7 10.9 4.7 6.2 24.6 58.2
Idaho 30.0 3.0 0.9 2.1 4.8 22.2 89.4 8.0 2.4 5.6 26.1 55.2
Illinois 542.1 22.3 11.2 11.2 107.7 412.2 1233.3 70.0 35.0 35.0 357.5 805.8
Indiana 267.2 9.6 3.6 6.0 51.7 206.0 607.9 28.7 10.7 18.0 172.1 407.1
Iowa 126.8 4.6 1.8 2.8 24.2 98.0 288.6 14.2 5.4 8.8 78.7 195.7
Kansas 119.5 3.7 1.5 2.2 23.6 92.3 276.9 11.8 4.8 7.0 79.6 185.5
Kentucky 135.9 16.3 4.9 11.4 11.2 108.4 432.9 50.0 15.1 34.9 119.3 263.6
Louisiana 142.6 13.8 3.8 10.0 15.8 112.9 423.5 35.3 9.7 25.6 143.7 244.6
Maine 34.1 13.1 4.8 8.3 6.6 14.4 101.2 30.1 11.0 19.0 32.7 38.3
Maryland 200.2 17.6 8.8 8.8 18.1 164.5 527.2 44.9 22.4 22.4 146.3 336.1
Massachusetts 134.9 38.8 19.4 19.4 31.4 64.7 450.4 110.1 55.0 55.0 192.6 147.7
Michigan 440.0 15.8 6.6 9.2 99.8 324.4 998.3 52.9 22.2 30.7 326.4 619.0
Minnesota 233.4 9.9 5.0 5.0 37.4 186.0 520.8 33.8 16.9 16.9 117.4 369.6
Mississippi 92.3 12.2 2.9 9.3 9.3 70.8 274.8 34.0 8.1 25.9 91.9 149.0
Missouri 262.2 16.9 6.4 10.6 54.9 190.3 610.7 54.6 20.5 34.1 181.2 374.9
Montana 24.2 2.9 0.9 2.0 3.8 17.5 67.1 7.0 2.2 4.8 19.9 40.2
Nebraska 77.7 2.3 1.0 1.3 14.6 60.8 174.7 7.2 3.0 4.2 47.2 120.3
Nevada 54.8 4.7 2.2 2.5 10.2 39.9 163.4 11.7 5.6 6.2 51.9 99.8
New Hampshire 25.7 2.6 1.3 1.3 5.5 17.6 73.9 6.5 3.2 3.2 27.7 39.7
New Jersey 174.3 25.3 12.6 12.6 43.9 105.2 535.5 69.7 34.8 34.8 259.9 205.9
New Mexico 48.7 10.3 3.0 7.3 7.9 30.5 131.2 22.1 6.4 15.7 36.0 73.0
New York 462.0 179.6 89.8 89.8 104.3 178.1 1402.1 449.0 224.5 224.5 574.4 378.6
North Carolina 271.6 34.5 12.4 22.1 22.9 214.2 787.1 91.8 33.0 58.8 213.1 482.3
North Dakota 29.7 0.9 0.3 0.6 5.2 23.6 66.3 3.0 1.1 1.9 17.3 46.0
Ohio 531.6 23.9 9.4 14.5 106.3 401.3 1232.9 76.7 30.1 46.6 359.8 796.4
Oklahoma 102.4 7.2 2.4 4.8 10.3 85.0 320.4 20.0 6.6 13.4 105.1 195.3
Oregon 95.2 13.6 5.3 8.3 14.7 66.9 282.9 35.8 14.0 21.8 82.5 164.5
Pennsylvania 271.8 53.1 24.4 28.7 68.7 150.0 871.7 133.7 61.4 72.3 407.5 330.4
Rhode Island 22.7 5.9 2.8 3.1 5.0 11.7 74.5 18.0 8.5 9.4 30.0 26.6
South Carolina 137.6 16.0 4.8 11.2 12.0 109.7 415.1 43.7 13.2 30.5 113.6 257.8
South Dakota 32.4 1.0 0.4 0.6 5.9 25.4 74.4 3.4 1.4 2.1 20.0 51.0
Tennessee 199.2 36.1 13.1 23.0 16.8 146.3 621.2 98.2 35.6 62.5 164.9 358.1
Texas 630.6 45.8 18.1 27.7 60.4 524.3 1810.0 114.6 45.2 69.4 535.9 1159.5
Utah 43.3 4.8 1.4 3.5 6.8 31.7 119.8 14.2 4.0 10.2 33.6 71.9
Vermont 15.1 4.2 1.7 2.5 3.0 8.0 41.1 9.4 3.9 5.5 13.1 18.6
Virginia 223.3 11.8 5.9 5.9 17.2 194.4 611.0 31.7 15.9 15.9 154.3 424.9
Washington 169.1 23.1 11.2 11.9 22.7 123.3 481.4 61.6 29.9 31.7 124.5 295.3
West Virginia 69.3 8.5 2.2 6.3 6.1 54.8 228.6 25.7 6.6 19.1 66.1 136.7
Wisconsin 259.1 8.6 3.6 4.9 43.4 207.2 578.6 26.1 11.1 15.0 136.0 416.5
Wyoming 13.9 1.5 0.8 0.8 2.1 10.3 39.0 4.2 2.1 2.1 10.0 24.8
US estimatesa 8981.8 774.9 311.0 463.9 1509.9 6697.0 24 705.1 2774.4 1203.6 1570.8 7904.6 14 289.7

Note. Data are for the US noninstitutionalized population aged 18 years and older. Medium-run savings are cumulative, assuming a 5% lower prevalence of short-run and medium-run conditions.

Source. Estimates were from the Medical Expenditure Panel Survey Household Component, 2003–2005,15 pooled sample and normed to 2004 National Health Expenditure Accounts19 totals by state and payer and inflated to 2008 dollars.

a

US estimates are from the national spending model and are not column totals, which differed slightly from the national estimates because state estimates were from individual models for each state.