Major Differences in the BBA Medicaid Managed Care Regulation
A side-by-side comparison of the original and revised Federal rule for new consumer protection and quality assurance requirements for Medicaid managed care. Side-by-Side Comparison
View the Latest: Managed Care
Filter
-
-
Pieces of the Puzzle
ReportA new report describes the Report to Congress by the Department of Health and Human Services on consumer protection and quality assurance requirements for Medicaid managed care and discusses the differences between the original Federal rule and the revised one. Report Executive Summary
-
Medicaid Support for Family Planning in the Managed Care Era
ReportAs the largest source of public funding for contraceptive care in the United States, Medicaid plays a crucial role in financing family planning services and supplies for millions of low-income women across the nation. In the past 15 years, managed care has become the primary way of delivering care to children and adults on Medicaid, a development which has had significant implications for how family planning services are financed, organized and delivered under Medicaid. This…
-
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.
-
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. ISSUE BRIEF Download
-
SCHIP Managed Care Contracting
ReportThe fourth in a series of reports on implementation issues and challenges in the first year of S-CHIP finds that states have been able to enter arrangements with plans for their S-CHIP population fairly easily. REPORT Download
-
Medicaid’s Disabled Population and Managed Care
Fact SheetMedicaid's Disabled Population and Managed Care This fact sheet highlights the key facts about the Medicaid managed care programs that serve persons with disabilities. It describes the Medicaid disabled population and the role managed care plays in serving them. It also provides information on enrollment in managed care, program features, and issues such as quality assurance, rate setting, and benefits. Fact Sheet
-
S-CHIP Implementation in California
ReportThis report examines the design and implementation of California's State Children's Health Insurance Program (known as Healthy Families), including contracting issues, program design and administration, and access to care by adolescents and children with special health care needs. This report is one of several appearing on this website from a five-state study of CHIP implementation in California, Connecticut, Maryland, Missouri, and Utah. REPORT Download
-
Medicaid’s Role for the Disabled Population Under Age 65
Fact SheetMedicaid's Role for the Disabled Population Under Age 65 Defines the non-elderly disabled and summarizes Medicaid's role in their health care coverage. Includes a description of enrollment requirements, benefits, spending and managed care concerns for the population. Fact Sheet
-
Medicaid Managed Care for Dual Eligibles: State Profiles
ReportOver half a million duals were enrolled in Medicaid managed care programs in 1999. This report summarizes these efforts across the nation and profiles initiatives in each state. Background Paper