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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

Medicaid Enrollment in 21 States: June 1997 – June 1999

This report, Medicaid Enrollment in 21 States: June 1997 -June 1999, prepared by Health Management Associates, includes enrollment data obtained directly from state Medicaid and CHIP programs. Findings show that across the 21 states, which represent 73% of total Medicaid enrollment, enrollment fell from 23.2 million in June 1997 to…

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The Henry J. Kaiser Family Foundation

Making Medicaid Managed Care Work: An Action Plan for People Living With HIV

This is an update of an earlier report also prepared by The National Association of People with AIDS (NAPWA), with support from the Foundation. That report was the product of a 1996 meeting of people with HIV, their advocates, and researchers designed to provide information about Medicaid managed care for…

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The Henry J. Kaiser Family Foundation

Managed Care and Low Income Populations in Texas: 1996-1998 Update

This report, Managed Care and Low-Income Populations in Texas: 1996-1998 Update, updates our 1996 case study of Texas' Medicaid managed care initiatives and their affect on low-income populations. The authors conclude that Medicaid managed care in Texas has had mixed results. It is one of a series of reports from…

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The Henry J. Kaiser Family Foundation

Building Strong Medicaid Managed Care Programs: A Guide To Help Consumer Advocates Participate in Strengthening HIV/AIDS Provisions in Managed Care

This new report, prepared by NAPWA with support of the Foundation, grew out of a key recommendation in the Making Medicaid Managed Care Work report, and is designed to provide people with HIV and their advocates with the tools for understanding Medicaid managed care contracts and for working with states…

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