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The Henry J. Kaiser Family Foundation

Statewide Medicaid Managed Care Demonstrations under Section 1115 of the Social Security Act:

A Review of the Waiver Applications, Letters of Approval and Special Terms and ConditionsThis background paper provides a summary of the key features of the Medicaid 1115 waivers that have been approved, proposed, implemented and conditionally rejected. This July version updates Medicaid 1115 Demonstration Waivers: Approved and Proposed Activities as…

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The Henry J. Kaiser Family Foundation

Overview of Medicaid Managed Care Provisions in the Balanced Budget Act of 1997

The describes the new legal and policy framework within which the shift of state Medicaid programs from fee-for-serviceto managed care will take place over the next few years.Report Report

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The Henry J. Kaiser Family Foundation

Medicaid Managed Care for Dual Eligibles: State Profiles

Over half a million duals were enrolled in Medicaid managed care programs in 1999. This report summarizes these efforts across the nation and profiles initiatives in each state.Background Paper

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The Henry J. Kaiser Family Foundation

Beyond Cash and Counseling: The Second Generation of Individual Budget-Based Community Long-Term Care Programs for the Elderly

States are increasingly interested in the individual budget model for older Medicaid beneficiaries as a mechanism to improve responsiveness of benefits to beneficiaries’ needs and preferences and to increase their ability to remain outside or leave nursing homes. Beginning in January 2007, a new provision in the Deficit Reduction Act…

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The Henry J. Kaiser Family Foundation

Individuals With Disabilities and their Experiences with Medicaid Managed Care

Today, one out of every four disabled Medicaid beneficiaries receives health care through managed care. This Background Paper provides insights into how Medicaid managed care is working for individuals with disabilities, based on the findings from seven focus groups held in Florida and New Mexico. The key findings show that…

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The Henry J. Kaiser Family Foundation

Medicaid and Managed Care: Implications for Low-income Women

This commentary reviews Medicaid’s role for low-income women and examines the implications Medicaid managed care on the delivery of health services to this vulnerable population. Today 40% of the Medicaid population, mostly poor women and their children, is enrolled in managed care. Medicaid agencies are hoping managed care will control…

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The Henry J. Kaiser Family Foundation

Washington’s Managed FFS Demonstration to Integrate Care and Align Financing for Dual Eligible Beneficiaries

Washington is the first state to sign a memorandum of understanding (MOU) with the Centers for Medicare and Medicaid Services (CMS) to test a managed fee-for-service (FFS) financial alignment model for beneficiaries who are dually eligible for Medicare and Medicaid, beginning on April 1, 2013. Washington’s managed FFS demonstration uses…

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The Henry J. Kaiser Family Foundation

Medicaid and Managed Care

This fact sheet provides an overview of the Medicaid program’s increasing reliance on managed care to deliver services.Fact Sheet

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The Henry J. Kaiser Family Foundation

How Are Safety Net Hospitals Responding to Health Care Financing Changes?

A new background report sums up how multiple trends have led to a situation where safety net hospitals are feeling more financial pressure and are challenged to subsidize the unprofitable care of theuninsured.Background Paper For a more extensive discussion read our larger report from the same study.

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The Henry J. Kaiser Family Foundation

Medicaid Managed Care for Dual Eligibles: Case Studies of Programs in Georgia, Minnesota, and Pennsylvania

This report, a companion piece to publication #2246, presents detailed case studies of the managed care programs that enroll dual eligibles in three states: Georgia, Minnesota and Pennsylvania.Report

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