Making Medicaid Managed Care Work: An Action Plan for Persons Living with HIV

This report, by the National Association of People with AIDS (NAPWA) with support from The Kaiser Family Foundation, describes nine key points for people living with HIV to keep in mind when trying to influence the development of a managed care system that will serve them effectively. Senator John Chafee (R-RI), an acknowledged ally of NAPWA, gratefully accepted the report upon its release.

• Making Medicaid Managed Care Work: An Action Plan for Persons Living with HIV
• Making Medicaid Managed Care Work: An Action Plan for Persons Living with HIV

• Report: An Analysis of the Medicaid and Health-Related Provisions of Act (P.L. 104-193)

• Report: Insurance Matters For Low-Income Adults: Results From A Five-State Survey

1996 Update

This report is an update to the July 1995 case study on managed care in Oregon released as part of the Kaiser/Commonwealth Low-Income Coverage and Access Project.

• Report:

1996 Update

This report is an update to the July 1995 case study on managed care in Tennessee released as part of the Kaiser/Commonwealth Low-Income Coverge and Access Project.To gather early insights and timely information for state and federal policymakers concerning how the restructuring of programs serving low-income people is affecting their insurance coverage and access to care, The Henry J. Kaiser Family Foundation and The Commonwealth Fund are jointly sponsoring the Low-Income Coverage and Access Project. This is a large scale effort to monitor changes in health care delivery and financing and the impact of managed care for low-income populations in seven states: California, Florida, 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.

Report (.pdf)

Post-Election Survey of Voters’ 1997 Health Care Agenda

A nationally representative sample of 1000 voters, conducted immediately after the 1996 election, examines voters’ priorities for the new Congress. Balancing the budget, cutting taxes and spending on public education top the list of voters priorities. The survey also looks at public support for regulating managed care, expanding health insurance coverage, Medicare spending, and the welfare reform law passed last year.

This study is part of a larger initiative, the Kaiser/Commonwealth Low-Income Coverage and Access project funded by both the Henry J. Kaiser Family Foundation and The Commonwealth Fund, to gauge the impact of health restructuring on access and health insurance coverage for low-income populations in seven states through surveys, focus groups and case studies. The aim of the studies is to provide early insights and timely analyses that will assist other states and other efforts to shape rapidly evolving managed care systems and health reform programs for low-income populations. This case study assesses the goals of the managed care initiatives in Florida, the program design and implementation experience, and how care patterns and access have been affected. The study also examines how the health care safety net for the poor was affected and spillover effects to other sectors.

• Report: Managed Care And Low-Income Populations: A Case Study Of Managed Care In Florida

1996 Update

This report is an update to the May 1996 case study on managed care in Minnesota released as part of the Kaiser/Commonwealth Low-Income Coverage and Access Project.

• Report:

This document compiles the findings of surveys conducted by the Kaiser Family Foundation on the knowledge and attitudes about managed care, from 1996-1997.

This policy brief provides background on Section 1115 Medicaid waiver activity, discusses the common provisions of the approved and proposed Section 1115 waivers since 1993, and briefly summarizes the current application of Section 1115 AFDC waivers. It also examines implications of the Section 1115 waivers on the Medicaid program and its beneficiaries.

• Policy Brief: Restructuring Medicaid: Key Elements And Issues In Section 1115 Demonstration Waivers