Missouri Medicaid Report on High-Cost Beneficiaries
April 2010
Missouri Department of Social Services
For the Missouri Department of Social Services, The Lewin Group examined high-cost individuals in the MO HealthNet program. For the analysis, Lewin evaluated high-cost individuals from two different perspectives: individuals whose claims history demonstrated unusually high use of certain services, specifically pharmacy, inpatient hospital and emergency room (ER) and individuals whose overall claims history demonstrated unusually high overall spending levels.