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The Characteristics and Roles of Medicaid-Dominated Managed Care Plans

This policy brief (Publication #2180) provides a national profile of Medicaid-dominated managed care plans – those in which Medicaid enrollees make up at least 75 percent of total enrollment. While recent policy and market forces have encouraged the growth of these plans, basic information about them has been lacking, partly…

Comparison of Medi-Cal and Healthy Families Programs for Children in California

A new side-by-side examination of California’s Medicaid program (Medi-Cal) and CHIP program (Healthy Families) shows how these two low-income health coverage programs differ in structure, eligibility, enrollment process, service delivery and scope. This California case study helps to illustrate differences between Medicaid and CHIP.

The Medicare Program: Servicios De Salud Administrados Por Medicare

Panorama General: Medicare proporciona servicios de salud a casi 39 millones de norteamericanos, incluyendo aproximadamente a 34 millones de ancianos y a 5 millones de discapacitados. La gran mayoria de estas personas cubren sus gastos medicos directamente mediante el programa tradicional de “pago por servicio,” mientras que el 15 porciento…

SCHIP Administration and Accountability

The third in a series of reports on implementation issues and challenges in the first year of S-CHIP finds that non-Medicaid S-CHIP programs faced more administrative challenges. Success with enrollment appeared primarily related to administrative decisions, including a lower band of S-CHIP income eligibility, and the lack of premiums.

Seniors and Prescription Drugs: An 8-State Survey

A new study conducted by researchers at Tufts-New England Medical Center, the Henry J. Kaiser Family Foundation, and the Commonwealth Fund, reports results from a 2001 survey of 10,927 noninstitutionalized seniors in eight geographically diverse states: California, Colorado, Illinois, Michigan, New York, Ohio, Pennsylvania, and Texas. State-level data on drug…

The Healthcare Experiences of Women with HIV/AIDS – Insights from Focus Groups

The Healthcare Experiences of Women with HIV/AIDS: Insights from Focus GroupsThis report summarizes findings from a series of focus groups with women living with HIV/AIDS. Focus group participants describe their first-hand experience with the health care system, including issues of to financing and coverage, relationships with providers, the role of…