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The Henry J. Kaiser Family Foundation

Medicaid Support for Family Planning in the Managed Care Era

As the largest source of public funding for contraceptive care in the United States, Medicaid plays a crucial role in financing family planning services and supplies for millions of low-income women across the nation. In the past 15 years, managed care has become the primary way of delivering care to…

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The Henry J. Kaiser Family Foundation

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

TennCare represents one of the most ambitious state-level efforts to restructure Medicaid and expand insurance coverage to the uninsured. The case study shows that the rapid change caused considerable confusion for patients, providers, and health plans. The TennCare experience provides early insights into the issues that states will face as they move to enroll more of their low-income populations into managed care arrangements.

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The Henry J. Kaiser Family Foundation

Mandatory Medicaid Managed Care–Plan and Enrollee Perspectives on the Enrollment Process

The issue paper discusses the enrollment process from the perspectives of both beneficiaries and participating plans in nine states with mandatory Medicaid managed care programs: California, Connecticut, Florida, Maryland, Michigan, Missouri, New Mexico, Oklahoma, and Oregon.Issue Paper

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The Henry J. Kaiser Family Foundation

Medicaid and Managed Care: Lessons from the Literature

This report reviews and synthesizes the literature from the past 20 years evaluating managed care's impact on access, quality, beneficiary's health status, and the cost of care for the Medicaid population.Report:

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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

Briefing on State Medicaid Programs, the Recession and Health Reform

The Kaiser Family Foundation’s Commission on Medicaid and the Uninsured (KCMU) held a 9:30 a.m. ET briefing on Thursday, September 30 to examine the challenges facing states as they continue to struggle with the lingering impacts of the recession and begin preparing to implement health reform. Three reports were released…

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The Henry J. Kaiser Family Foundation

The Development of Capitation Rates Under Medicaid Managed Care Programs: A Pilot Study, Vols. 1 & 2

Report: The Development of Capitation Rates under Medicaid Managed Care Programs: A Pilot Study

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