This fact sheet provides an overview of the Medicaid program’s increasing reliance on managed care to deliver services. Fact Sheet
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An 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 plans restrict their Medicaid service areas.
A new report describes the Report to Congress by the Department of Health and Human Services on consumer protection and quality assurance requirements for Medicaid managed care and discusses the differences between the original Federal rule and the revised one.Report Executive Summary
As the largest source of public funding for contraceptive care in the United States, Medicaid plays a crucial role in financing family planning services and supplies for millions of low-income women across the nation. In the past 15 years, managed care has become the primary way of delivering care to…
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.
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.
The fourth in a series of reports on implementation issues and challenges in the first year of S-CHIP finds that states have been able to enter arrangements with plans for their S-CHIP population fairly easily.
This report examines the design and implementation of California’s State Children’s Health Insurance Program (known as Healthy Families), including contracting issues, program design and administration, and access to care by adolescents and children with special health care needs. This report is one of several appearing on this website from a…
Medicaid’s Disabled Population and Managed CareThis fact sheet highlights the key facts about the Medicaid managed care programs that serve persons with disabilities. It describes the Medicaid disabled population and the role managed care plays in serving them. It also provides information on enrollment in managed care, program features, and…
Medicaid’s Role for the Disabled Population Under Age 65Defines the non-elderly disabled and summarizes Medicaid’s role in their health care coverage. Includes a description of enrollment requirements, benefits, spending and managed care concerns for the population.Fact Sheet