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  • Visualizing Health Policy: Medicaid and Medicare at 50: Trends and Challenges

    Other Post

    These Visualizing Health Policy infographics commemorate the 50th anniversary of the Medicaid and Medicare programs. This infographic provides details about the reach and demographics of the programs, as well as the Federal and total US health-care spending associated with them. This infographic illustrates trends and challenges going forward. Together, Medicaid and Medicare provide health insurance coverage for more than 3 in 10 Americans. Medicaid serves a notable share of children, nursing home residents, and Americans younger than 65…

  • Awaiting New Medicaid Managed Care Rules: Key Issues to Watch

    Issue Brief

    More than half of all Medicaid beneficiaries now receive their services in risk-based managed care plans, and states’ use of managed care is expanding. States operate their own Medicaid managed care programs within federal rules and requirements. The federal regulations were last updated in 2002 and a new proposed rule is expected in Spring 2015. This brief identifies key issues in the regulation and discusses how CMS might address them.

  • Medi-Cal Managed Care: An Overview and Key Issues

    Issue Brief

    California’s Medicaid program, Medi-Cal, is the largest state Medicaid program in the nation, insuring almost one-third of Californians. For several decades, Medi-Cal has been transitioning from a fee-for-service (FFS) system to risk-based managed care, and more than three-quarters of all Medi-Cal beneficiaries, including low-income children, adults, seniors, and people with disabilities, are now enrolled in managed care plans. As other state Medicaid programs increase their reliance on risk-based managed care, a review of California’s transition…

  • Trends in Health Plans Serving Medicaid — 2000 Data Update

    Report

    An updated study follows trends in commercial health plan participation in Medicaid managed care and includes new analyses on the performance of Medicaid-dominated and commercial plans on measures of effective care and access to care, and on the extent to which plans restrict their Medicaid service areas.

  • New Data Source on Hospital Use by California’s Medi-Cal Enrollees

    Other Post

    New Data Source on Hospital Use by California's Medi-Cal Enrollees A project sponsored by The Kaiser Family Foundation has resulted in a new source of data that will enhance research on the Medi-Cal program, including the impact of Medi-Cal managed care. The project linked 2 datasets: the Patient Discharge Dataset containing hospital discharge information maintained by the California Office of Statewide Health Planning and Development (OSHPD), and a Medi-Cal dataset containing eligibility and health plan…

  • Medicaid and Managed Care

    Fact Sheet

    This fact sheet provides an overview of the Medicaid program's increasing reliance on managed care to deliver services. Fact Sheet

  • Medicaid and HIV/AIDS Policy: A Basic Primer

    Report

    The Medicaid Primer presents in depth information on Medicaid, the federal/state program that provides health coverage for low-income families and people with disabilities and is the largest source of public financing for HIV/AIDS care in the U.S. The Medicaid Primer is designed to help policymakers and advocates navigate through the complexities of Medicaid with regard to the program's role for people with HIV/AIDS. REPORT Download