Data Graphics

The Health Policy Institute of Ohio has released the tenth edition of Ohio Medicaid Basics, a primer that provides an overview of the Medicaid program in Ohio.

The 2023 edition includes information on Medicaid eligibility, covered groups and services, delivery systems, financing, spending and recent policy and programmatic changes. In addition to giving an overview of the program, the brief details recent changes, such as Medicaid continuous coverage and redetermination, implementation of the Next Generation of Ohio Managed Care initiative and extension of postpartum coverage, as well as describes how the changes affect enrollment and spending.

Ohio Medicaid provides healthcare coverage for about 3.6 million Ohioans (30% of the state’s population, as displayed in the graphic above), most of whom are children, older adults, people with disabilities and adults with low incomes who could not otherwise afford private or employer-sponsored health insurance. The program represents a significant share of government spending in Ohio. In state fiscal year 2022, federal and state expenditures on Medicaid accounted for about 39% of Ohio’s budget, with 73% of the fund coming from the federal government.

HPIO has released Medicaid Basics every two years since 2005.

The Health Policy Institute of Ohio has released the latest edition of its biennial Health Value Dashboard, which found that Ohio ranks 44 on heath value compared to other states and D.C. (as displayed in the graphic above).

That means that Ohioans are living less healthy lives and spending more on health care than people in most other states.

The Dashboard is designed for policymakers and other public- and private-sector leaders to examine Ohio’s performance relative to other states, track change over time and identify and explore health disparities and inequities in Ohio. The report also highlights evidence-informed strategies that can be implemented to improve Ohio’s performance.

With more than 100 data metrics, the report can be a valuable tool as Ohio’s leaders continue to develop the state’s biennial budget over the next two months.

In the fifth edition of the Dashboard, HPIO identified three specific areas of strengths on which Ohio can build to create opportunities for improved health value in the state:

• Strengthen Ohio’s workforce: Ohio can build upon recent success in attracting employers in high-growth industries to strengthen the workforce and reduce poverty
• Foster mental well-being: Ohio can build upon expertise with, and community response to, the addiction crisis to become a national leader in behavioral health
• Improve healthcare effectiveness: Ohio can build upon strengths in access to care to reinvigorate approaches to improving outcomes and controlling healthcare spending

Five years after HPIO’s report A New Approach to Reduce Infant Mortality and Achieve Equity identified 127 policy recommendations in housing, transportation, education and employment to reduce infant mortality in Ohio, the majority of those policy options saw some progress toward implementation (as illustrated in the graphic above).

In March, HPIO released a new follow-up report, Social Drivers of Infant Mortality: Recommendations for Action and Accountability in Ohio, that builds upon recommendations first included in the original report.

The new report found that, despite the efforts of many in both the public and private sectors, progress since 2011 in reducing infant mortality has been minimal and uneven, and Ohio’s infant mortality rate remains higher than most other states.

In recent weeks, HPIO has released action guides that highlights policy options for improving education and housing, two of the social drivers of infant mortality in Ohio. Guides on transportation, employment and racism are planned to be released in the coming months.

Policy changes made in Ohio over the last decade that have expanded access to care also reduced the gap between Black and white Ohioans who report going without care due to cost, as displayed in the graphic above.

As Ohio observes Minority Health Month in April, it is clear that although progress has been made, there is still work to be done to eliminate health disparities. In HPIO’s 2023 Health Value Dashboard, which will be released in late April, the Institute found that if the racial gap in ability to pay for health care was fully closed, nearly 45,000 more Black Ohioans would not experience financial barriers to care.

New data analysis from the Health Policy Institute of Ohio found that while Ohio’s rate of traffic deaths has remained below the U.S. over the past decade, fatalities related to drivers operating a motor vehicle under the influence of alcohol or drugs have increased 78% in the state from 2017 to 2021 (as illustrated in the graphic above).

The data also shows a spike in fatalities in both Ohio and the U.S. in 2020, coinciding with the COVID-19 pandemic. According to preliminary research by the federal Department of Transportation’s National Highway Traffic Safety Administration (NHTSA), people who continued to drive during the pandemic may have engaged in riskier behavior including speeding, failure to wear seat belts and driving under the influence of alcohol or other drugs.

Ohio ranked 15th in the nation (out of the 50 states and D.C.) in motor vehicle deaths in HPIO’s 2021 Health Value Dashboard. HPIO plans to release its 2023 Dashboard in May.

New data analysis by the Health Policy Institute of Ohio shows that more Ohioans report having high blood pressure than people in other states (as illustrated in the graphic above).

The analysis also found that hypertension is more common among Black Ohioans and Ohioans with lower incomes, groups that often experience high rates of chronic stress, a leading contributor to high blood pressure.

There is emerging research establishing a link between higher rates of hypertension among African Americans and the chronic stress of discrimination and racism.

According to an HPIO policy brief on the connections between racism and health, “chronic exposure to racism renders communities of color more vulnerable to negative health outcomes across the life span and can lead to early death.”

The data graphic is the second produced by HPIO in February, which is American Heart Month, a designation designed to spotlight heart disease.