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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

Protection For Consumers In Managed Care Plans: A Comparison Of Medicare, Medicaid and the Private Insurance Market

This policy paper describes key requirements of consumer protection regulation under Medicare, Medicaid and federal and state laws as they apply to private health insurance. These include choice and availability of plans, disclosure of information, marketing, access, quality, and the grievance and appeals process. The discussion highlights differences and similarities…

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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

Individuals With Disabilities and their Experiences with Medicaid Managed Care

Today, one out of every four disabled Medicaid beneficiaries receives health care through managed care. This Background Paper provides insights into how Medicaid managed care is working for individuals with disabilities, based on the findings from seven focus groups held in Florida and New Mexico. The key findings show that…

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The Henry J. Kaiser Family Foundation

Medicaid and Managed Care: Implications for Low-income Women

This commentary reviews Medicaid’s role for low-income women and examines the implications Medicaid managed care on the delivery of health services to this vulnerable population. Today 40% of the Medicaid population, mostly poor women and their children, is enrolled in managed care. Medicaid agencies are hoping managed care will control…

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The Henry J. Kaiser Family Foundation

Medicaid Managed Care’s Impact On Safety-Net Clinics In California

Medicaid Managed Care’s Impact On Safety-Net Clinics In California Medicaid Managed Care’s Impact On Safety-Net Clinics In California was published in the January/February 2000 issue of the journal Health Affairs. The report provides an overview of Medi-Cal Managed Care in California, and its effects on community health clinics, and related…

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The Henry J. Kaiser Family Foundation

Medicaid Managed Care for Persons with Disabilities: Case Studies of Programs in Florida, Kentucky, Michigan and New Mexico

This report, Medicaid Managed Care for Persons with Disabilities Case Studies of Programs in Florida, Kentucky, Michigan and New Mexico, provides in-depth descriptions of the case studies in these states.

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The Henry J. Kaiser Family Foundation

Health Centers’ Role as Safety Net Providers for Medicaid Patients and the Uninsured

This issue paper profiles the role America's health centers have played in providing care for Medicaid patients and the uninsured. The paper presents information on health center patients and revenue sources and analyzes similarities and differences both between health centers and private practices and among health centers. These centers perform…

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The Henry J. Kaiser Family Foundation

Proposed Models to Integrate Medicare and Medicaid Benefits for Dual Eligibles: A Look at the 15 State Design Contracts Funded By CMS

This brief summarizes 15 states’ preliminary proposals to better coordinate care for people who are in both the Medicare and Medicaid programs. The design contracts, funded by the federal Center for Medicare and Medicaid Innovation (CMMI), are an outgrowth of new efforts under the health reform law to develop service…

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