Medicaid and Managed Care
This fact sheet provides an overview of the Medicaid program's increasing reliance on managed care to deliver services.
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How Are Safety Net Hospitals Responding to Health Care Financing Changes?
ReportA 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.
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Medicaid Managed Care for Dual Eligibles: Case Studies of Programs in Georgia, Minnesota, and Pennsylvania
ReportThis report, a companion piece to publication #2246, presents detailed case studies of the managed care programs that enroll dual eligibles in three states: Georgia, Minnesota and Pennsylvania.
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Section 1115 Waivers in Medicaid and the State Children’s Health Insurance Program: An Overview
Issue BriefA 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.
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Public Health in a Changing Health Care System: Linkages Between Public Health and MCOs In the Treatment and Prevention of STDs
ReportPublic health agencies and managed care organizations share responsibility for the health of the populations they serve. Their relationships are particularly important in the area of STDs. This study analyzes the evolving relationships between managed care organizations and public health agencies in how they manage the prevention, treatment, and tracking of STDs.
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Managed Care and Low-Income Populations: Four Years’ Experience with the Oregon Health Plan
ReportThis report updates an earlier study of Oregon's experience with restructuring their Medicaid programs. It is one of a series of reports from The Kaiser/Commonwealth Low-Income Coverage and Access Project.
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Access To Health Care:
ReportPromises and Prospects For Low-Income Americans This book explores critical issues affecting access to health care for low-income Americans by assessing the importance of expansions of health coverage for the poor, the emerging challenges providers who serve low-income and uninsured populations face in a rapidly evolving health care delivery system, and the effects of these…
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Medicaid Managed Care for Persons with Disabilities: A Closer Look
ReportThis report, Medicaid Managed Care for Persons with Disabilities: A Closer Look, presents an overview of the findings and summarizes the results of the case studies of Medicaid managed care programs that enroll persons with disabilities in four states: Florida, Kentucky, Michigan, and New Mexico.
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New Interactive Data Tool Tracks Medicaid Managed Care Market
News ReleaseThe Medicaid Managed Care Market Tracker, a new feature of the Foundation’s State Health Facts data center, provides the latest data on key dimensions of risk-based Medicaid managed care for the 39 states that contract with MCOs – these states are home to more than 90 percent of all Medicaid beneficiaries nationwide. On Thursday, December 11 at 12:30 p.m. ET, the Foundation will host an interactive web briefing with Medicaid managed care expert Julia Paradise, an Associate Director of the Foundation’s Kaiser Commission on Medicaid and the Uninsured.
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Tapping Nurse Practitioners to Meet Rising Demand for Primary Care
Issue BriefMore than 58 million Americans, or nearly 1 in 5, live in primary care shortage areas, where the supply of primary care physicians is not sufficient to meet the needs of the population. Particularly as the demand for primary care increases due to population growth, aging, and expanded insurance coverage, strategies to mitigate already sharp strains on primary care capacity are needed. This brief focuses on the opportunity to more fully tap the potential of nurse practitioners to increase access to primary care.