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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…

News Release: HTML format

New Survey Shows That Providers and Health Plans Clash Often over Patient Care Doctors and Nurses Give Plans Good Marks in a Few Areas, But Many Report Frequent Denials of Coverage and Adverse Health Consequences for Their Patients Embargoed For Release Until:9:00 a.m. EDT, Wednesday, July 28, 1999 Contact: Missy…

Medical Groups — Issue Brief

A 2-page issue brief about medical groups in California, including a discussion on risk-bearing, solvency and current regulatory approaches. In preparation for a Roundtable Event: Tuesday, July 20, 1999 – 1:00-4:00 PM, State Capitol, Room 447 – Sacramento, California.Issue Brief

Survey of Physicians and Nurses

A national random survey of 1053 doctors and 768 nurses on their experiences with and attitudes towards health plans. The survey provides quantitative information from doctors and nurses about their non-elderly patients, as well as verbatim descriptions of patient experiences with health plan decisions, including doctors’ judgments on the consequences…

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…

Medicaid and Managed Care

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

Managed Care and Low-Income Populations: Case Study of Managed Care in Maryland

This report analyzes Maryland's Medicaid managed care program, HealthChoice, an ambitious and broad-reaching effort to reform the financing and delivery of health care for over 300,000 low-income individuals. Implemented in 1997, HealthChoice contains certain innovative features not found in many other state reform efforts, such as protections for traditional providers…

Health Plan Liability — Policy Brief

An 8-page policy brief to inform the policy debate in California about health plan liability issues, including barriers to lawsuits (ERISA), liability approaches used in other industries, and potential impact on premiums. The brief includes a variety of perspectives presented by speakers at a California Health Policy Roundtable held in…

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

This paper provides a targeted review of Tennessee’s experience providing health care to individuals with special needs under TennCare, its Medicaid managed care initiative. The first part reviews the experience of TennCare Partners, the behavioral health carve-out program created in 1996. The second part reviews how TennCare’s structure affects the disabled and chronically ill.

The Changing Medicaid Managed Care Market

Trends in Commercial Plans' ParticipationThis background paper analyzes the trends in commercial plan participation in the Medicaid market by using a database specifically designed for this purpose. It examines changes from mid-1996 to mid-1997 in the types of full-risk plans serving Medicaid Beneficiaries. It also looks at trends through mid-1998…