Data Graphics

HPIO has posted a revised version of its recent policy brief on the impact of Medicaid expansion on mental health and substance use treatment access.

After HPIO released the brief, the Ohio Department of Medicaid discovered that the expenditure amounts they provided were incorrect because they included expenditures for a two-year lookback period (i.e. 2023 and 2024 expenditures labeled as CY2024). We have revised our brief with the corrected data. We will also be posting revised spreadsheets with county-level data.

The revised analysis continues to show that Ohio receives substantial federal funding for behavioral health services for the Medicaid expansion population. In 2024, more than $1 billion in federal funds paid for services for Ohioans such as outpatient counseling, psychiatric medical services and residential drug treatment programs.

If Medicaid expansion is eliminated, the state would have to cover those costs or face significant reductions in treatment availability. Maintaining current state investments and replacing even 50% of the federal funds would cost Ohio more than $627 million a year.

The findings are included in the first in a series of policy briefs in HPIO’s 2025 Ohio Medicaid Expansion Study.

Ohio policymakers are considering discontinuation of Medicaid expansion coverage if the federal government reduces the Federal Medical Assistance Percentage (FMAP) (i.e., federal match) for this group below the current 90% federal contribution. This decision would impact approximately 770,000 Ohioans. HPIO’s recently released Policy Considerations: The Future of Group VIII (expansion) Medicaid Coverage in Ohio brief contains more general information and considerations about Medicaid expansion coverage as policymakers consider the future of the program.

Data included in HPIO’s “Ohio Medicaid Basics 2025” shows that most Ohioans have employer sponsored health coverage, as illustrated above.

Many Ohioans who have low incomes enroll in Medicaid, the second-most common source for coverage in Ohio, because other health insurance coverage is unavailable, too expensive or does not provide coverage for needed services, such as long-term services and supports.

Published every other year since 2005, to coincide with the biennial budget process, Ohio Medicaid Basics provides an overview of the Ohio Medicaid program, including eligibility, covered services, spending and recent policy changes. 

As Ohio policymakers consider discontinuation of Medicaid expansion coverage if the federal government reduces funding for this group, HPIO is planning to release findings from a comprehensive, data-driven study to describe how the 2014 Medicaid expansion impacted coverage, access and affordability and estimate the future impacts of discontinuing coverage for the expansion population.

HPIO’s recently released Policy Considerations: The Future of Group VIII (expansion) Medicaid Coverage in Ohio brief contains general information and considerations about Medicaid expansion coverage as policymakers consider the future of the program.

April is Alcohol Awareness Month and data shows that alcohol-involved deaths have nearly doubled in Ohio over the past decade, as illustrated above.

Alcohol use is influenced by many factors, including stress, trauma, mental health challenges and experiences of discrimination. However, alcohol use can worsen symptoms of mental health conditions over time and lead to other health challenges.

A 2023 HPIO data snapshot found that since 2007, deaths among working-age Ohioans due to chronic liver disease and cirrhosis -- deaths that are directly related to alcohol consumption -- increased by 72% and is the sixth leading cause of death among Ohioans ages 15 to 64.

According to HPIO’s 2024 Health Value Dashboard, Ohio ranks 34th compared to other states and D.C. on excessive drinking, meaning Ohio is worse than most other states.

The CDC has developed a self-screening tool that allows users to gauge their alcohol use and create a personalized plan to drink less.

April is Minority Health Month and data included in HPIO’s 2024 Health Value Dashboard shows that if disparities were eliminated in Ohio, 62,760 fewer Black Ohioans and 37,695 fewer Hispanic Ohioans would be unable to see a doctor due to cost.

Overall, Ohio is in the top quarter of states for adults’ ability to afford needed healthcare, but racial disparities persist. As illustrated above, Hispanic Ohioans and Black Ohioans reported going without care because of cost at much higher rates than the state overall.

HPIO’s Health Value Dashboard includes equity profiles that explore gaps in outcomes among groups of Ohioans and analyze the barriers to health that contribute to these gaps. The profiles also include calculations for how many Ohioans would benefit if disparities were eliminated.

The Health Policy Institute of Ohio has released a new publication titled “State Policy Roadmap: Leveraging Medicaid to Support Housing and Nutrition in Ohio.”

This Roadmap reflects insights on funding housing and nutrition services through Medicaid from HPIO’s Health-Related Social Needs (HRSN) Workgroup, a group of organizations and associations from across the state representing sectors such as housing and nutrition service providers, care coordinators, community health centers, health systems, Medicaid managed care organizations and philanthropy.

The workgroup’s recommendations build upon the strengths of Ohio’s health and human services landscape to maximize the impact of Medicaid.

Policymakers and stakeholders across Ohio are considering ways to support the health and well-being of workers and families while reducing healthcare costs.

As illustrated above, research consistently finds that spending on food and housing interventions has a large return on investment (ROI). Research also shows that investing in social needs services — such as housing, nutrition and care coordination — can improve health, enhance workforce stability and lead to more efficient Medicaid spending.

States have flexibility to fund these critical services through Medicaid, as outlined in HPIO’s report, “Leveraging Medicaid to Support Housing and Nutrition in Ohio.” This State Policy Roadmap builds on that information and outlines actionable next steps for policymakers and other state leaders to leverage these opportunities effectively.

As Ohio and federal policymakers consider the future of expanded Medicaid eligibility, a new illustration from HPIO shows examples of the types of jobs with average pay that would currently make Ohioans eligible for Medicaid under expansion.

The graphic is included in HPIO’s recently released brief “Policy Considerations: The Future of Group VIII (expansion) Medicaid Coverage in Ohio.”

As the U.S. Congress deliberates plans to reduce federal spending, including proposals to drastically cut funding for Medicaid, Gov. Mike DeWine included in his state budget proposal a provision that if the federal share of Medicaid funding is reduced, the Ohio Department of Medicaid “shall immediately discontinue all medical assistance for members of the [Medicaid expansion] group.”

This would drastically reduce access to health care for hundreds of thousands of Ohioans, most of whom are employed. In 2018, Medicaid reported that 94% of Group VIII enrollees were either employed, in school, taking care of family members (such as children or grandchildren), participating in an alcohol and drug treatment program or dealing with intensive physical health and/or a mental health illness.

The income eligibility limit for Medicaid enrollees is set as a percentage of FPL, as displayed to the right. FPL thresholds are based on household Modified Adjusted Gross Income, and are determined monthly. The illustration above shows examples

Learn more about Medicaid in Ohio by viewing HPIO’s recently released Ohio Medicaid Basics 2025.