A View of Medicaid Today and a Look Ahead: Balancing Access, Budgets and Upcoming Changes
This report highlights key policy priorities and issues state Medicaid programs focused on in FY 2025 and are prioritizing in FY 2026.
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A Backlash Against Health Insurers, Redux
PerspectiveIn this JAMA Health Forum post, Executive Vice President Larry Levitt recalls the mid-1990s’ public backlash against Health Maintenance Organizations (commonly known as HMOs) – all of which preceded the recent outpouring of health insurance concerns – as well as how consumer protections against coverage restrictions have evolved and fallen short.
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Medicaid Managed Long-Term Services and Supports: Are More Caution and Oversight Needed?
Event Date:EventThe Alliance for Health Reform and AARP sponsor an August 3rd briefing to discuss who is being served by Medicaid managed care, how enrollment is determined, and whether sufficient oversight of the programs exist.
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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.
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California and Texas: Section 1115 Medicaid Demonstration Waivers Compared
Fact SheetThis fact sheet compares and contrasts key provisions of the California and Texas Section 1115 Medicaid demonstration waivers. The Texas waiver, approved in December 2011, is modeled, in part, on the California waiver, which has been underway in that state since November 2010.
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A Profile of Medicaid Managed Care Programs in 2010: Findings from a 50-State Survey
ReportMost Medicaid beneficiaries nationally are enrolled in some form of managed care, and, with current budget pressure and health reform on the horizon, states are expected to increase their reliance on managed care to deliver services in their Medicaid programs.
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Quick Take: Medicaid: 3 Key Issues to Watch in 2013
Fact Sheet2013 will be a historic year for Medicaid with the implementation of major provisions to expand coverage and streamline enrollment in the Affordable Care Act (ACA) less than a year away, a surge in activity around care delivery reforms that seek to improve care and potentially reduce costs, and the unfolding of fiscal developments at…
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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.