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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…

Kaiser Family Foundation/Harvard University School of Public Health: Update on Americans’ Views on the Consumer Protections Debate

Kaiser Family Foundation/Harvard University School of Public Health: Update on Americans’ Views on the Consumer Protections DebateThe Kaiser Family Foundation/Harvard University School of Public Health Update on American’s Views on Consumer Protections in Managed Care is based on findings from the April 1999 Kaiser/Harvard Health News Index. The survey was…

MarketFacts: A Financial Overview of the Managed Care Industry

A fact sheet on the growing influence of for-profit organizations; trends in the stock prices of HMOs and health services companies compared to the overall stock market; recent HMO activity such as premium increases and mergers and acquisitions; and issues related to the financial aspects of HMOs.Fact Sheet Fact Sheet

MarketFacts: A Financial Overview of the Managed Care Industry – Fact Sheet

A Financial Overview of the Managed Care IndustryMarch 1999Part 1The rapid growth of managed care has brought with it a growing connection between the stock market andhealth care organizations. Health care services have evolved from being delivered by physicians and tax-exempt institutions to a market-driven industry attracting investment capital from…

Changes in Employee Health Coverage by Small Businesses

Findings from previous reports by The Kaiser Commission on Medicaid and the Uninsured and a survey of small and large employers that was part of a joint effort between The Henry J. Kaiser Family Foundation and KPMG Peat Marwick. A full report on is availableseparately (#1464).Report Report