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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

Medicaid and Children’s Health Insurance Program Provisions in the New Health Reform Law

This brief compares the Medicaid and Children’s Health Insurance Program provisions in the new health reform law with pre-reform law governing those programs. The analysis focuses on Medicaid coverage and financing changes; how Medicaid and CHIP will interface with a new health insurance exchange and other Medicaid benefits and access…

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The Henry J. Kaiser Family Foundation

Medicare Advantage 2010 Data Spotlight: Plan Availability and Premiums

This data spotlight examines changes in the availability and premiums of private Medicare Advantage options for Medicare beneficiaries in 2010 as the annual open enrollment period begins. While the number of plans available in 2010 declined somewhat from 2009, the analysis finds that Medicare beneficiaries on average have 33 Medicare…

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The Henry J. Kaiser Family Foundation

Alternatives for Financing Medicaid Expansions in Health Reform

Expanding Medicaid to cover low-income populations has been a fundamental component of leading health reform proposals. The House Leadership Bill would expand Medicaid to 150 percent of the federal poverty level and the Senate Leadership Bill would expand Medicaid to 133 percent of the federal poverty level. In both scenarios…

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