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The Henry J. Kaiser Family Foundation

State Demonstrations to Integrate Care and Align Financing for Dual Eligible Beneficiaries: A Review of the 26 Proposals Submitted to CMS

The Centers for Medicare and Medicaid Services (CMS) has proposed two models to align Medicare and Medicaid benefits and financing for dual eligible beneficiaries, one capitated model and one managed fee-for-service model. In the spring of 2012, 26 states submitted proposals to CMS seeking to test one or both of…

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The Henry J. Kaiser Family Foundation

Medicaid’s Rehabilitation Services Option:  Overview and Current Policy Issues

Medicaid’s Rehabilitation Services Option: Overview and Current Policy IssuesIn 2007, the President reintroduced a plan to place new restrictions on the types of services allowable under the Medicaid rehabilitation services option (called the rehab option) to yield federal budget savings of $2.29 billion over the next five years. Currently, 47…

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The Henry J. Kaiser Family Foundation

Summary of the Proposed Rule to Implement the New Medicare Prescription Drug Benefit

In August 2004, the Centers for Medicare and Medicaid Services published a proposed rule to implement the Medicare Prescription Drug Benefit (Title I of the Medicare Modernization Act). Given the high level of interest in the proposed rules for implementing the Medicare drug benefit, the Kaiser Family Foundation commissioned Health…

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The Henry J. Kaiser Family Foundation

Dual Eligibles Tables: Enrollment and Spending, by State, 2002

This set of tables, prepared by the Urban Institue for the Kaiser Commission on Medicaid and the Uninsured, presents the most current state by state data on Medicaid enrollment and expenditures for dual eligibles.Full Set of Tables (.pdf)Individual Tables:Implications of the Medicare drug law for full dual eligibles:Table 1: “Full”…

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The Henry J. Kaiser Family Foundation

The Role of Health Coverage for People with Disabilities: Findings from 12 Focus Groups with People with Disabilities

This report presents findings from focus groups conducted with people with a range of disabilities in an effort to understand the challenges they face and their experiences in the health-care system. To capture variations in experiences by source of health insurance, the groups include people covered under Medicare, Medicaid, and…

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The Henry J. Kaiser Family Foundation

Olmstead at Five:  Assessing the Impact

Olmstead at Five: Assessing the ImpactThis report examines the impact of Olmstead v. L.C. five years after the United States Supreme Court’s 1999 landmark decision. The analysis brings together new research with a synthesis of research undertaken over the past five years, to help policymakers and program administrators understand the…

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The Henry J. Kaiser Family Foundation

State Variation in Medicaid Pharmacy Benefit Use Among Dual-Eligible Beneficiaries

This study examines Medicaid pharmacy benefit use and spending among beneficiaries dually eligible for Medicare and Medicaid in 10 states by analyzing 1995 enrollment and claims data from a new 12-state database. The study finds that dual-eligibles are relatively high users of the Medicaid pharmacy benefit, with substantial variation in…

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The Henry J. Kaiser Family Foundation

Medicare Chartbook

The Medicare Chartbook includes data and background information critical to understanding the Medicare program and the challenges it faces in keeping up with the rising costs of health care and in ensuring the program s future financial security.

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The Henry J. Kaiser Family Foundation

Medicaid and HIV/AIDS Policy: A Basic Primer

The Medicaid Primer presents in depth information on Medicaid, the federal/state program that provides health coverage for low-income families and people with disabilities and is the largest source of public financing for HIV/AIDS care in the U.S. The Medicaid Primer is designed to help policymakers and advocates navigate through the…

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The Henry J. Kaiser Family Foundation

Managed Care for Low-Income Populations with Special Needs: The Oregon Experience

This report focuses on Oregon's experience in moving their disabled Medicaid beneficiaries into managed care. It is one of a series of reports from The Kaiser/Commonwealth Low-Income Coverage and Access Project. This project examines how changes in the Medicaid program have affected health insurance coverage and access to care for…

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