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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.

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…

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,…

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

This paper provides an overview of Medicaid eligibility policy and examines two groups of Americans in particular – low-income children and nondisabled adults under 65 – and summarizes the statutory and regulatory pathways to Medicaid eligibility available to them as individuals. The paper concludes with a discussion of policy options…

Summary of Findings: Privatization of Public Hospitals

This Summary presents background, findings, and data from the Economic and Social Research Institute’s (ESRI) full report, Privatization of Public Hospitals. Section I provides background about public hospital conversions, including the role of public hospitals, reasons for conversion, the mechanisms of conversion and new ownership entities, and analysis of national…

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Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in Menlo Park, California.