Medicare and Women

Published: Jun 29, 1999

As part of The Faces of Medicare, a collection of fact sheets profiling the characteristics and health needs of different groups of Medicare beneficiaries, provides descriptive information about women on Medicare, who constitute nearly seventy percent of Medicare’s poor.

Individuals With Disabilities and their Experiences with Medicaid Managed Care

Published: Jun 29, 1999

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 adults and children with disabilities feel alone in managing their health care and that important components of managed care – coordination and gatekeeping role that primary care physicians play — do not seem to be functioning well for research participants. Furthermore, the study shows that focus group participants feel overwhelmed and want help from their PCPs in coordinating their many health services and support encouraging managed care plans to give incentives to primary care physicians for managing their care.

Health Coverage for Latino Children:  Medicaid and the Children’s Health Insurance Program

Published: Jun 1, 1999

Health Coverage for Latino Children: Medicaid and the Children’s Health Insurance Program

An overview of Medicaid, the Children’s Health Insurance Program (CHIP) and health care coverage for Latino Children. This issue brief was released at a briefing for Hispanic and Latino Media in Los Angeles, CA on June 24, 1999. The briefing is part of a series, Latino Voices for Latino Health: Three Cities, One Vision that is jointly coordinated by the Kaiser Family Foundation and Latino Issues Forum. Other partners in the project include the nation’s leading Spanish-language media organizations. The project focuses on three health topics that have been identified as priorities for the Latino Community: Medicare; Children’s Health Insurance (CHIP); and, HIV/AIDS. This Issue Update is also available in Spanish

Poll Finding

The Kaiser/Harvard Health News Index May/June 1999

Published: May 30, 1999

Health News Index May/June, 1999

The May/June 1999 edition of the Kaiser Family Foundation/Harvard Health News Index includes questions about major health stories covered in the news, including questions about Gun Control and Youth Violence. The survey is based on a national random sample of 1,000 Americans conducted June 11-16, 1999 which measures public knowledge of health stories covered by news media during the previous month. The Health News Index is designed to help the news media and people in the health field gain a better understanding of which health stories in the news Americans are following and what they understand about those health issues. Every two months, Kaiser/Harvard issues a new index report.

Health Insurance Coverage of Low-Wage Workers

Published: May 30, 1999

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.

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

Published: May 30, 1999

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 the limitations of the program as a strategy for improving the health of low-income groups. While gaps in coverage and limitations in access persist between the poor and the privately insured, overall, Medicaid has helped achieve expanded coverage, greater access, and better health care for millions of low-income children and women.

The article appeared in the Annual Review of Public Health 1999 20:403-26.

Access Article: “The Key To The Door: Medicaid’s Role in Improving Health Care for Women and Children.”

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

Published: May 30, 1999

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 and development of a new risk adjustment system. This report is one of a series of reports from The Kaiser/Commonwealth Low-Income Coverage and Access Project. This project examines how changes in the Medicaid Program have affected health insurance coverage and access to care for the low-income population in eight states: California, Florida, Maryland, Minnesota, New York, Oregon, Tennessee and Texas.

Health Plan Liability — Policy Brief

Published: May 30, 1999

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 Sacramento, California on February 25, 1999.

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

Published: May 1, 1999

Kaiser/Commonwealth Low-Income Coverage and Access Project

The Henry J. Kaiser Family Foundation and The Commonwealth Fund are jointly sponsoring The Low-Income Coverage and Access Project to examine how changes in the Medicaid program and the movement toward managed care are affecting health insurance coverage and access to care for low-income populations. This large-scale project, initiated in 1994, has examined the impact of changes in eight states: California, Florida, Maryland, Minnesota, New York, Oregon, Tennessee, and Texas. Information is being collected through case studies, surveys and focus groups to assess changes in health insurance coverage and access to care from the perspectives of numerous key stakeholders – – consumers, state officials, managed care plans, and providers.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.

Report (.pdf)