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The Henry J. Kaiser Family Foundation

Medicaid Managed Care:  An Analysis of the Health Care Financing Administration’s Notice of Proposed Rulemaking

Medicaid Managed Care: An Analysis of the Health Care Financing Administration's Notice of Proposed RulemakingReport: Medicaid Managed Care: An Analysis…

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The Henry J. Kaiser Family Foundation

Massachusetts and Washington: Financial Alignment Demonstrations for Dual Eligible Beneficiaries Compared

This fact sheet examines the similarities and differences between the five-year demonstrations in Massachusetts and Washington state to integrate care and align financing for people dually eligible for Medicare and Medicaid. The states finalized memoranda of understanding (MOUs) with the Centers for Medicare and Medicaid Services in fall 2012, and…

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The Henry J. Kaiser Family Foundation

Pulling it Together: Teaching An Old Dog New Tricks

Way back in the eighties when I was Human Services Commissioner in New Jersey, I established something called the Garden State Health Plan (GSHP).  It was the first — and I think the only — federally qualified state-run HMO for Medicaid beneficiaries.  One goal of the GSHP was to reallocate…

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The Henry J. Kaiser Family Foundation

A Guide to the Medicaid Appeals Process

This background brief provides a comprehensive look at the appeals process for the Medicaid program, which differs significantly from those available through the Medicare program and private health insurance. The Medicaid appeals process provides redress for individual applicants and beneficiaries seeking eligibility for the program or coverage of prescribed services,…

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The Henry J. Kaiser Family Foundation

Massachusetts’ Demonstration to Integrate Care and Align Financing for Dual Eligible Beneficiaries

Massachusetts is the first state to finalize a memorandum of understanding (MOU) with the Centers for Medicare and Medicaid Services (CMS) to test CMS’s capitated financial alignment model for beneficiaries who are dually eligible for Medicare and Medicaid, with enrollment beginning on April 1, 2013. Starting in 2013, CMS will…

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The Henry J. Kaiser Family Foundation

The Growth of Managed Care: Are Women Getting What They Need?

How the Changing Health Care Marketplace Affects Coverage and Access to Reproductive HealthA fact sheet, Q&A and resource list prepared for a media briefing held in New York on March 27, 1996. The purpose of the briefing was to respond to questions about how reproductive health services are currently delivered…

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The Henry J. Kaiser Family Foundation

Kaiser Family Foundation/Field Institute Survey of Californians on the Health Care Initiatives, Propositions 214 and 216

Results of two surveys that track Californian’s knowledge of the two initiatives on the California Ballot, Propositions 214 and 216 (also known as the Patient Protection Acts) and attitudes towards them as the debate unfolds. The surveys were conducted from August 14-21, 1996 and from September 23-30, 1996. Also included…

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Medicaid Managed Care in the Era of Health Reform – Briefing and Panel Discussion

Amid increasing state and national interest in using managed care delivery models for Medicaid beneficiaries, the Kaiser Family Foundation’s Commission on Medicaid and the Uninsured (KCMU) hosted a public briefing on Tuesday, June 25, 2013 to provide information on recent transitions from fee-for-service to managed care, and to discuss their…

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The Henry J. Kaiser Family Foundation

Faces of Dually Eligible Beneficiaries: Profiles of People with Medicare and Medicaid Coverage

This brief examines the role of Medicare and Medicaid in the lives of dually eligible beneficiaries – low-income seniors and younger adults with disabilities who are eligible for both programs – through personal profiles. It includes a glossary of eligibility and service delivery system terms and state-level enrollment and expenditure data for dual eligibles.

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The Henry J. Kaiser Family Foundation

Transitioning Beneficiaries with Complex Care Needs to Medicaid Managed Care: Insights from California

This brief examines how health service providers, plan administrators, and community-based organizations in Contra Costa, Kern, and Los Angeles Counties experienced the transition of Medi-Cal-only seniors and persons with disabilities (SPDs) to managed care as part of the state’s “Bridge to Reform” Medicaid waiver. Findings presented may inform similar transitions of high-need beneficiaries in other states and coverage expansions in 2014 under the Affordable Care Act.

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