Faces of the Medicaid Expansion: Experiences and Profiles of Uninsured Adults Who Could Gain Coverage
These two papers provide insight into how state decisions to expand Medicaid under the Affordable Care Act are likely to impact people.
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Massachusetts’ Demonstration to Integrate Care and Align Financing for Dual Eligible Beneficiaries
Issue BriefMassachusetts is the first state to finalize a memorandum of understanding (MOU) with the Centers for Medicare and Medicaid Services (CMS) to test CMS's capitated financial alignment model for beneficiaries who are dually eligible for Medicare and Medicaid, with enrollment beginning on April 1, 2013.
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Explaining the State Integrated Care and Financial Alignment Demonstrations for Dual Eligible Beneficiaries
Issue BriefThis paper provides an overview of the joint efforts of states and the Centers for Medicare and Medicaid Services (CMS) to develop more integrated ways of paying for and delivering health care to the 9 million people who are eligible for both the Medicare and Medicaid programs.
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State Demonstrations to Integrate Care and Align Financing for Dual Eligible Beneficiaries: A Review of the 26 Proposals Submitted to CMS
ReportThe Centers for Medicare and Medicaid Services (CMS) has proposed two models to align Medicare and Medicaid benefits and financing for dual eligible beneficiaries, one capitated model and one managed fee-for-service model. In the spring of 2012, 26 states submitted proposals to CMS seeking to test one or both of these models.
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Current and Emerging Issues in Medicaid Risk-Based Managed Care: Insights from an Expert Roundtable
Issue BriefHalf of all Medicaid enrollees receive care through comprehensive risk-based managed care organizations (MCOs). Most Medicaid MCO enrollees today are low-income children and parents, but states are increasingly moving beneficiaries with more complex needs into MCOs.
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Coverage of Preventive Services for Adults in Medicaid
Issue BriefThis brief highlights data from a survey of coverage of 42 recommended preventive services for adults in Medicaid fee-for-service programs as of October 2010. Medicaid programs must cover preventive services for children as part of the Early Periodic Screening, Diagnosis and Treatment (EPSDT) benefit, but generally are not required to cover such services for adults.
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Health Homes for Medicaid Beneficiaries with Chronic Conditions
Issue BriefThis brief profiles four states that were the first to receive federal approval to take up a state option under the Affordable Care Act to implement health homes for Medicaid beneficiaries with chronic conditions.
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Articles Examine Data and Issues For Expanding Integrated Care Models For Dual-Eligible Beneficiaries
ReportAs state and federal policymakers move to develop and test integrated care models for people dually eligible for Medicare and Medicaid, two new Kaiser Family Foundation articles in the June 2012 issue of Health Affairs highlight the diverse needs and challenges facing these 9 million beneficiaries, describe their current care arrangements, and raise issues to…
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Health Care Use and Chronic Conditions Among Childless Adult Medicaid Enrollees in Arizona
Issue BriefUnder the Affordable Care Act (ACA), beginning in 2014, Medicaid eligibility will expand to 133% of the federal poverty level for nearly all individuals. Arizona is one of the few states that already cover adults without dependent children in Medicaid through a longstanding Section 1115 waiver.
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Emerging Medicaid Accountable Care Organizations: The Role of Managed Care
Issue BriefThis brief examines efforts by a number of states to set up Accountable Care Organizations (ACOs) within their Medicaid programs.