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Medicaid Managed Care Plans and Access to Care: Results from the Kaiser Family Foundation 2017 Survey of Medicaid Managed Care Plans

Managed care organizations (MCOs) cover nearly two-thirds of all Medicaid beneficiaries nationwide, making managed care the nation’s dominant delivery system for Medicaid enrollees. As the entities responsible for providing comprehensive Medicaid benefits to enrollees by contracting with providers, managed care plans play a critical role in shaping access to care for Medicaid enrollees. Many plan actions are dictated by state policy or contracting requirements; however, plans also have some flexibility to design payment and delivery systems and structure enrollees’ experiences using their coverage. To understand how Medicaid managed care plans approach access to care and the challenges they face in ensuring such access, the Kaiser Family Foundation conducted a survey of plans in 2017.

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COVID-19 Issues and Medicaid Policy Options for People Who Need Long-Term Services and Supports

This issue brief provides state-level data on long-term services and supports (LTSS) users by setting, discusses the unique challenges that LTSS users will face in light of COVID-19, the disease caused by the novel coronavirus. It presents federal and state policy options, and explores Medicaid’s role as the primary LTSS payer in the U.S..

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A Conversation with Washington Gov. Inslee and Colorado Gov. Polis on the Public Option in Their States

On Friday, Feb. 7, KFF hosted a conversation with Colorado Gov. Jared Polis and Washington State Gov. Jay Inslee about their states’ efforts to establish a public health insurance option and make other changes to address health costs and access. The two governors have made health reforms a key part…

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Estimates of the Initial Priority Population for COVID-19 Vaccination by State

This analysis provides new national and state-level estimates of the number of health care workers and long-term care residents who are expected to be part of the group first in line to receive the COVID-19 vaccine to gain insight into how this initial priority population varies across states.

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Key Questions About the Impact of Coronavirus on Long-Term Care Facilities Over Time

This analysis provides insight into trends related to cases and deaths in long-term care facilities due to COVID-19. This piece provides state-level data on cumulative cases and deaths in long-term care facilities over time, trends of new LTC cases and deaths per week, and comparisons to national trends in cases and deaths.

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Factors Associated With COVID-19 Cases and Deaths in Long-Term Care Facilities: Findings from a Literature Review

This issue brief reviews findings from 30 studies that have examined potential factors associated with COVID-19 cases and/or deaths in long-term care facilities.

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Rising Cases in Long-term Care Facilities Are Cause for Concern

LTC cases in hotspot states are increasing at 4x the rate as LTC cases in non-hotspot states. Media has largely focused on the share of cases attributed to a younger population. However, increased cases in long-term care facilities are cause for concern, given that nearly half of all COVID-19 deaths have been in long-term care facilities. This piece provides state-level data, including data that shows that long-term care cases in Texas and Florida have increased by over 50% in 2 weeks.

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Voices of Paid and Family Caregivers for Medicaid Enrollees Receiving HCBS

To help inform the ongoing debate, KFF conducted four focus groups in July and August 2021 with direct care workers and unpaid caregivers who provide HCBS, assisting seniors and people with disabilities with daily self-care and household activities. These focus groups are not necessarily generalizable to all caregivers, but can provide insight into their experiences to help inform current policy debates.

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Medicaid’s Role for Women

Changes to Medicaid financing and structure could have significant implications for low-income women’s access to coverage and care. This fact sheet presents key data points describing the current state of the Medicaid program as it affects women.

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How Could $400 Billion New Federal Dollars Change Medicaid Home and Community-Based Services?

This issue brief places the American Jobs Plan in the context of current Medicaid HCBS spending and considers how policymakers might allocate the new funding, as the proposal to date includes little detail.

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The Henry J. Kaiser Family Foundation Headquarters: 185 Berry St., Suite 2000, San Francisco, CA 94107 | Phone 650-854-9400
Washington Offices and Barbara Jordan Conference Center: 1330 G Street, NW, Washington, DC 20005 | Phone 202-347-5270

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Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in San Francisco, California.