Managed Care - Research and Data from KFF

State Medicaid Coverage of Family Planning Services: Summary of State Survey Findings

Nov 1, 2009

Massachusetts’ Demonstration to Integrate Care and Align Financing for Dual Eligible Beneficiaries

Oct 1, 2012

Issue Brief

Massachusetts 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. Starting in 2013, CMS will implement a three-year multi-state demonstration to test new service delivery and payment models for people who are eligible for both federal health programs. Massachusetts' demonstration…

How Are Safety Net Hospitals Responding to Health Care Financing Changes?

Jul 31, 2001

Report

A 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.

Medicaid Managed Care for Dual Eligibles: Case Studies of Programs in Georgia, Minnesota, and Pennsylvania

Mar 2, 2001

Report

This 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. Report

Public Health in a Changing Health Care System: Linkages Between Public Health and MCOs In the Treatment and Prevention of STDs

Mar 30, 2000

Report

Public 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. Report

Managed Care and Low-Income Populations: Four Years’ Experience with the Oregon Health Plan

Aug 30, 1999

Report

This 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. This project examines how changes in the Medicaid Program have affected health insurance coverage and access to care for the low-income population in eight states: Maryland, California, Florida, Minnesota, New York, Oregon, Tennessee and Texas. Report

Medicaid Managed Care for Persons with Disabilities: A Closer Look

Apr 29, 2000

Report

This 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. This report also draws from the findings of the 1998 national survey of state practices (Publication #2114) and focus groups of low-income disabled individuals (Publication #2152). This report addresses the…

Rebalancing in Capitated Medicaid Managed Long-Term Services and Supports Programs: Key Issues from a Roundtable Discussion on Measuring Performance

Feb 2, 2015

Issue Brief

This issue brief summarizes the key issues related to measuring performance in LTSS rebalancing identified and discussed by participants in an expert roundtable meeting on November 13, 2014.

Measuring Long-Term Services and Supports Rebalancing

Feb 2, 2015

Fact Sheet

This fact sheet provides a brief overview of quality measures related to long-term services and supports rebalancing.

Adult Behavioral Health Benefits in Medicaid and the Marketplace

Jun 11, 2015

Report

This report analyzes specific specialty behavioral health services covered by state Medicaid programs and Marketplace QHPs in four states: Arizona, Colorado, Connecticut, and Michigan.

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