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The Henry J. Kaiser Family Foundation

An Update on CMS’s Capitated Financial Alignment Demonstration Model For Medicare-Medicaid Enrollees

Beginning in January, 2013, the Centers for Medicare and Medicaid Services (CMS) will implement a three year multi-state demonstration to test new service delivery and payment models for people dually eligible for Medicare and Medicaid. These demonstrations will enroll full dual eligibles in managed fee-for-service or capitated managed care plans…

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The Henry J. Kaiser Family Foundation

A Focus Group with Medicaid Directors: As FY 2012 Ends, Looking Toward FY 2013

This report is based on a focus group discussion in May 2012 with the Executive Board of the National Association of Medicaid Directors (NAMD) and other leading Medicaid directors. The group of nine directors reflected perspectives from various regions of the country. The discussion focused on state fiscal conditions, Medicaid…

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The Henry J. Kaiser Family Foundation

Program Integrity in Medicaid: A Primer

Medicaid covers more than 60 million Americans and accounts for about one in six dollars spent on health care in the United States. Multiple agencies at the state and federal levels are involved in efforts to prevent waste, fraud and abuse in the program and ensure appropriate use of taxpayer…

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The Henry J. Kaiser Family Foundation

Current and Emerging Issues in Medicaid Risk-Based Managed Care: Insights from an Expert Roundtable

Half of all Medicaid enrollees receive care through comprehensive risk-based managed care organizations (MCOs). Most Medicaid MCO enrollees today are low-income children and parents, but states are increasingly moving beneficiaries with more complex needs into MCOs. Managed care enrollment may grow more rapidly as states work with the Centers for…

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Financing the Response to AIDS in Low- and Middle-Income Countries: International Assistance from Donor Governments in 2013

This annual report from the Kaiser Family Foundation and the Joint United Nations Programme on HIV/AIDS (UNAIDS) evaluates international efforts to finance the response to the AIDS epidemic. The analysis finds that donor governments in 2013 committed US$8.1 billion in new funding to support the AIDS response in low- and middle-income countries, down 3 percent from 2012. The drop in new commitments occurred even though actual disbursements for HIV increased to $8.5 billion in 2013, up 8 percent from 2012.

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The Henry J. Kaiser Family Foundation

The Public’s Health Care Agenda for the New President and Congress

The Public’s Health Care Agenda for the New President and CongressThis survey captures the public’s attitudes regarding the health care agenda for President Obama and the new Congress in 2009. It assesses the relative priority placed on health care by the American public as part of addressing the economic recession…

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The Henry J. Kaiser Family Foundation

Health Reform Issues: Key Issues About State Financing and Medicaid

This updated issue brief from the Kaiser Commission on Medicaid and the Uninsured examines key issues related to state financing and the expansion of the Medicaid program under the new health reform law. Issue Brief (.pdf)

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The Henry J. Kaiser Family Foundation

Medicarer Part D 2010 Data Spotlight: Coverage of Top Brand-Name and Specialty Drugs

This Part D Data Spotlight documents the wide variations across the private stand-alone drug plans with respect to coverage of drugs, what enrollees pay for those drugs, and restrictions and limitations placed on their use. These variations have potentially significant implications for beneficiaries’ access to medications and out-of-pocket costs. The…

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The Henry J. Kaiser Family Foundation

More Than Meets the Eye: Long-Term Care Provisions in the New Reform Law

In the debates around the health reform law and its implementation, little attention has been given to the law’s provisions supporting long-term care. This briefing offered an overview of these provisions, such as the CLASS Act, a new national, voluntary insurance program to help working adults finance services and supports…

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The Henry J. Kaiser Family Foundation

Reaching for the Stars: Quality Ratings of Medicare Advantage Plans, 2011

New: Medicare Advantage Plan Star Ratings and Bonus Payments in 2012 In 2012, Medicare Advantage plans will be awarded additional payments based on their quality ratings as a result of the 2010 health reform law. The Centers for Medicare and Medicaid Services has proposed a demonstration that would modify the…

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