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The Faces of Medicare

The Medicare beneficiary population is often described in homogenous terms, yet those covered by the program vary significantly in terms of their health, income, supplemental insurance status, and medical service use. profiles the following six groups within the Medicare population, providing basic information, trends and data: Healthy retirees, who represent…

Health Insurance Coverage of Low-Wage Workers

This fact sheet summarizes the reasons why low-wage workers are less likely to have employer-sponsored health insurance than workers with higher incomes and therefore, are more likely to be uninsured. Fact Sheet

Managed Care and Low-Income Populations: Case Study of Managed Care in Maryland

This report analyzes Maryland's Medicaid managed care program, HealthChoice, an ambitious and broad-reaching effort to reform the financing and delivery of health care for over 300,000 low-income individuals. Implemented in 1997, HealthChoice contains certain innovative features not found in many other state reform efforts, such as protections for traditional providers…

Managed Care For Low-Income Populations with Special Needs: The Tennessee Experience

This paper provides a targeted review of Tennessee’s experience providing health care to individuals with special needs under TennCare, its Medicaid managed care initiative. The first part reviews the experience of TennCare Partners, the behavioral health carve-out program created in 1996. The second part reviews how TennCare’s structure affects the disabled and chronically ill.

Medicaid Eligibility for the Elderly

The purpose of this issue paper is to explain Federal Medicaid eligibility policy for the low-income elderly population and discusses Federal and State policy options to improve coverage.Issue Paper

Employment-Based Health Insurance Coverage and its Decline:-2134

Employment-Based Health Insurance Coverage and its Decline:The Growing Plight of Low-Wage WorkersThis background paper examines the increase in uninsured workers and the growing disparity in health insurance coverage between low- and high-wage workers. While a larger proportion of higher wage workers had health coverage in 1996 than a decade before,…

Medicare and Medicaid for the Elderly and Disabled Poor

This fact sheet provides an overview of the role of Medicare and Medicaid in serving these beneficiaries, describes the health status of dual Medicare/Medicaid beneficiaries, and discusses issues of managed care and access to care.This fact sheet is a summary of a longer Background Paper (#2132), which is also available.Fact…

Barriers to Medi-Cal Enrollment and Ideas for Improving Enrollment: Findings from Eight Focus Groups in California with Parents of Potentially Eligible Children

This report presents the results of eight focus groups conducted in several languages throughout California to explore the knowledge and opinions of parents of potentially eligible children about the Medi-Cal program, California’s Medicaid program. The study found that participants were confused about eligibility requirements, found the enrollment process onerous and…

Medicaid Eligibility for Families and Children – Issue Paper

Medicaid Eligibility for Families and Children September 1998 Measured by enrollment, Medicaid is the largest health insurer in the country. According to the Urban Institute’s estimates, Medicaid covered 41.3 million Americans in 1996; Medicare, in comparison, covered 38 million. Moreover, millions of low-income Americans without private health insurance coverage are…