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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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…
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…
This fact sheet provides an overview of the Medicaid program’s increasing reliance on managed care to deliver services.Fact Sheet
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.
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
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…
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…
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.
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: