Medicaid utilization in children: Condition-specific incidence and spending - Takeaways - MDSpire
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Condition-Specific Incidence and Spending Among Children Using Medicaid

  • By

  • Madelyn Hall

  • Jay G. Berry

  • Samir S. Shah

  • Vineeta Mittal

  • Matt Hall

  • Henry T. Puls

  • Jessica L. Markham

  • October 7, 2026

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  • 1

    The retrospective analysis included 7.2 million children younger than 20 years enrolled in Medicaid across 12 states in 2022.

  • 2

    Only 78.5% of enrolled children had at least 1 Medicaid claim; the remaining 21.5% were classified as nonutilizers.

  • 3

    Total Medicaid expenditures were $22.3 billion, with outpatient services accounting for 55.2%, inpatient services 25.2%, pharmacy 13.9%, and emergency services 5.8%.

  • 4

    Preventative care reached about 50% of utilizers but accounted for 8.5% of spending; chronic-condition care reached about 27% and accounted for 41.1%.

  • 5

    Nearly 70% of utilizers received care for nonchronic conditions, which accounted for the largest share of spending at 50.4%.

Original Source(s)

Medicaid utilization in children: Condition-specific incidence and spending

  • by Madelyn Hall, Jay G. Berry, Samir S. Shah, Vineeta Mittal, Matt Hall, Henry T. Puls, Jessica L. Markham

  • October 7, 2026

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