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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

Expanding Coverage to the Uninsured

Challenges for the Low-Income Population This testimony characterizes the growing number of uninsured Americans and the diminishing options for health insurance for a population in need. It details a disturbing picture of the steady erosion of job-based health coverage for low-wage workers coupled with the recent decline in Medicaid s…

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…

The Key to the Door: Medicaid’s Role in Improving Health Care for Women and Children

This article, authored by Diane Rowland, Alina Salganicoff, and Patricia Keenan of the Kaiser Commission on Medicaid and the Uninsured, assesses Medicaid’s contributions as a public financing program for health insurance coverage for the poor over the last three decades. It reviews Medicaid’s impact on the low-income population and discusses…

Health Insurance Coverage of Low-Wage Workers

This fact sheet summarizes the reasons why low-wage workers are less likely to have employer-sponsored health insurance than workers with higher incomes and therefore, are more likely to be uninsured. Fact Sheet

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…

Medicaid Eligibility for the Elderly

The purpose of this issue paper is to explain Federal Medicaid eligibility policy for the low-income elderly population and discusses Federal and State policy options to improve coverage.Issue Paper

Employment-Based Health Insurance Coverage and its Decline:-2134

Employment-Based Health Insurance Coverage and its Decline:The Growing Plight of Low-Wage WorkersThis background paper examines the increase in uninsured workers and the growing disparity in health insurance coverage between low- and high-wage workers. While a larger proportion of higher wage workers had health coverage in 1996 than a decade before,…