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The Henry J. Kaiser Family Foundation

Financial Alignment Models for Dual Eligibles: An Update

The nearly nine million dual eligibles who receive both Medicare and Medicaid benefits are a high cost, high need population, accounting for a disproportionate share of expenditures relative to their enrollment in both programs. In April 2011, the Centers for Medicare and Medicaid Services (CMS) announced the award of design…

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The Henry J. Kaiser Family Foundation

Decoding Medicaid Care Delivery and Financing Models: A Glossary of Widely Used Terms

As care delivery and financing models in Medicaid have multiplied, so has the terminology used to refer to them. This glossary seeks to clarify and define the terms that are widely used to describe the diverse approaches that states are taking to reform the way they organize and pay for…

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The Henry J. Kaiser Family Foundation

Articles Examine Data and Issues For Expanding Integrated Care Models For Dual-Eligible Beneficiaries

As state and federal policymakers move to develop and test integrated care models for people dually eligible for Medicare and Medicaid, two new Kaiser Family Foundation articles in the June 2012 issue of Health Affairs highlight the diverse needs and challenges facing these 9 million beneficiaries, describe their current care…

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The Henry J. Kaiser Family Foundation

Medicaid Managed Long-Term Services and Supports: Are More Caution and Oversight Needed?

The Alliance for Health Reform and AARP sponsor an August 3rd briefing to discuss who is being served by Medicaid managed care, how enrollment is determined, and whether sufficient oversight of the programs exist. Speakers will explore such questions as: Does Medicaid managed care cover a full range of long-term…

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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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The Henry J. Kaiser Family Foundation

Trends in Health Plans Serving Medicaid — 2000 Data Update

Trends in Health Plans Serving Medicaid — 2000 Data UpdateAn updated study follows trends in commercial health plan participation in Medicaid managed care and includes new analyses on the performance of Medicaid-dominated and commercial plans on measures of effective care and access to care, and on the extent to which…

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The Henry J. Kaiser Family Foundation

Section 1115 Waivers in Medicaid and the State Children’s Health Insurance Program:  An Overview

A new policy brief provides a description of the Section 1115 law, its history, and an overview of how it plays a role in the restructuring of Medicaid and SCHIP.

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The Henry J. Kaiser Family Foundation

Managed Care and Low-Income Populations: Four Years’ Experience with the Oregon Health Plan

This report updates an earlier study of Oregon's experience with restructuring their Medicaid programs. It is one of a series of reports from The Kaiser/Commonwealth Low-Income Coverage and Access Project. This project examines how changes in the Medicaid Program have affected health insurance coverage and access to care for the…

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