Medicaid and Managed Care
This fact sheet provides an overview of the Medicaid program's increasing reliance on managed care to deliver services. Fact Sheet
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Commercial Health Plan Participation in Medicaid Managed Care: An Examination of Six Markets
ReportThe issue paper studies health care markets of Denver, Detroit, Milwaukee, Miami, New York, and Seattle. The paper identifies key determinants for plan participation. Issue Paper
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Mandatory Medicaid Managed Care–Plan and Enrollee Perspectives on the Enrollment Process
ReportThe issue paper discusses the enrollment process from the perspectives of both beneficiaries and participating plans in nine states with mandatory Medicaid managed care programs: California, Connecticut, Florida, Maryland, Michigan, Missouri, New Mexico, Oklahoma, and Oregon. Issue Paper
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Enabling Services: A Profile of Medicaid Managed Care Organizations
ReportThe report provides basic statistics on Medicaid managed care organizations providing enabling services - transportation, translation, education, and case management. The report also identifies the extent of variation across plans. REPORT Download
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State Policies on Access to Gynecological Care and Contraception
Other PostThis issue brief, updated for a Capitol Hill Briefing Series on women's health issues, assesses women's coverage of gynecologi
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Medicaid Enrollment in 50 States: June 1997 to December 1999
ReportThis report provides current national and state-level data on the number of persons enrolled in Medicaid and CHIP. In addition to identifying recent trends in Medicaid and CHIP enrollment, this report also examines trends in the various eligibility categories within Medicaid. The report reveals that enrollment in Medicaid increased by 1.1 million individuals, or 3.6 percent, in December 1999 compared to the previous December. Executive Summary Report Link to December 2001 Data Update
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Making Medicaid Managed Care Work: An Action Plan for People Living With HIV
ReportThis is an update of an earlier report also prepared by The National Association of People with AIDS (NAPWA), with support from the Foundation. That report was the product of a 1996 meeting of people with HIV, their advocates, and researchers designed to provide information about Medicaid managed care for people with HIV. This new report updates information to reflect changes in the policy and regulatory environment since that time. Report (.pdf)
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Building Strong Medicaid Managed Care Programs: A Guide To Help Consumer Advocates Participate in Strengthening HIV/AIDS Provisions in Managed Care
ReportThis new report, prepared by NAPWA with support of the Foundation, grew out of a key recommendation in the Making Medicaid Managed Care Work report, and is designed to provide people with HIV and their advocates with the tools for understanding Medicaid managed care contracts and for working with states to make them responsive to the needs of people with living with HIV. Report (.pdf)
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Managed Care and Low-Income Populations: A Case Study of Managed Care in California
ReportThis report updates a 1994 case study of California's Medicaid managed care initiative. California uses three predominant managed care models in its Medi-Cal program: county organized health (COHS), geographic managed care (GMC), and the two-plan model. This case study focuses specifically on Los Angeles County's two-plan model and Orange County's COHS model. 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…
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Medicaid Managed Care for Persons with Disabilities: Case Studies of Programs in Florida, Kentucky, Michigan and New Mexico
ReportThis report, Medicaid Managed Care for Persons with Disabilities Case Studies of Programs in Florida, Kentucky, Michigan and New Mexico, provides in-depth descriptions of the case studies in these states.