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The Henry J. Kaiser Family Foundation

Public Health in a Changing Health Care System: Linkages Between Public Health and MCOs In the Treatment and Prevention of STDs

Public health agencies and managed care organizations share responsibility for the health of the populations they serve. Their relationships are particularly important in the area of STDs. This study analyzes the evolving relationships between managed care organizations and public health agencies in how they manage the prevention, treatment, and tracking…

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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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The Henry J. Kaiser Family Foundation

Managed Care for Low-Income Populations with Special Needs: The Tennessee Experience

This report focuses on Tennessee’s experience in moving their disabled Medicaid beneficiaries into managed care.

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The Henry J. Kaiser Family Foundation

Access To Health Care:

Promises and Prospects For Low-Income AmericansThis book explores critical issues affecting access to health care for low-income Americans by assessing the importance of expansions of health coverage for the poor, the emerging challenges providers who serve low-income and uninsured populations face in a rapidly evolving health care delivery system, and…

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The Henry J. Kaiser Family Foundation

Medicaid Managed Care for Persons with Disabilities: A Closer Look

This report, Medicaid Managed Care for Persons with Disabilities: A Closer Look, presents an overview of the findings and summarizes the results of the case studies of Medicaid managed care programs that enroll persons with disabilities in four states: Florida, Kentucky, Michigan, and New Mexico. This report also draws from…

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The Henry J. Kaiser Family Foundation

The Characteristics and Roles of Medicaid-Dominated Managed Care Plans

This policy brief (Publication #2180) provides a national profile of Medicaid-dominated managed care plans – those in which Medicaid enrollees make up at least 75 percent of total enrollment. While recent policy and market forces have encouraged the growth of these plans, basic information about them has been lacking, partly…

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The Henry J. Kaiser Family Foundation

Medicaid Enrollment in 50 States: June 1997 to December 1999

This report provides current national and state-level data on the number of persons enrolled in Medicaid and CHIP. In addition to identifying recent trends in Medicaid and CHIP enrollment, this report also examines trends in the various eligibility categories within Medicaid. The report reveals that enrollment in Medicaid increased by…

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The Henry J. Kaiser Family Foundation

Financial Alignment Demonstrations for Dual Eligible Beneficiaries: A Look at CMS’s Evaluation Plan

This issue brief describes the Centers for Medicare and Medicaid Services’ plan to evaluate the financial alignment demonstrations, for beneficiaries dually eligible for Medicare and Medicaid via its contract with RTI International.

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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

Managing a High Performing Medicaid Program

This report discusses key responsibilities that the federal government and states hold for managing the Medicaid program and identifies the key issues and challenges states face as they transform the way they do business and achieve key national goals. The paper relies on an extensive review of federal and state administrative responsibilities drawn from statute, regulation, and relevant literature, coupled with discussions with six current Medicaid directors.

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