The Development of Capitation Rates Under Medicaid Managed Care Programs: A Pilot Study, Vols. 1 & 2
Report: The Development of Capitation Rates under Medicaid Managed Care Programs: A Pilot Study…
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Medicaid’s New “Health Home” Option
Issue BriefThis brief provides key information about the new option for state Medicaid programs to provide "health home" services for enrollees with chronic conditions. The option, established under the new health reform law, took effect on Jan. 1, 2011.
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Washington’s Managed FFS Demonstration to Integrate Care and Align Financing for Dual Eligible Beneficiaries
Issue BriefWashington is the first state to sign a memorandum of understanding (MOU) with the Centers for Medicare and Medicaid Services (CMS) to test a managed fee-for-service (FFS) financial alignment model for beneficiaries who are dually eligible for Medicare and Medicaid, beginning on April 1, 2013.
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Beyond Cash and Counseling: The Second Generation of Individual Budget-Based Community Long-Term Care Programs for the Elderly
ReportStates are increasingly interested in the individual budget model for older Medicaid beneficiaries as a mechanism to improve responsiveness of benefits to beneficiaries’ needs and preferences and to increase their ability to remain outside or leave nursing homes.
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Briefing on State Medicaid Programs, the Recession and Health Reform
Event Date:EventThe Kaiser Family Foundation's Commission on Medicaid and the Uninsured (KCMU) held a 9:30 a.m. ET briefing on Thursday, September 30 to examine the challenges facing states as they continue to struggle with the lingering impacts of the recession and begin preparing to implement health reform.
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Health Insurer Financial Performance Through September 2020
Issue BriefIn this brief, we analyze third quarter data from 2018 to 2020 to examine how insurance markets performed financially through the end of September. Average margins remained relatively high compared to the same point in recent years, suggesting many insurers remained profitable even as non-COVID-related care returned in the summer and fall.
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Quick Take: Geographic Variation in Dual Eligible Enrollment
Fact SheetOver 9 million elderly Americans and younger persons with disabilities are jointly enrolled in the Medicaid and Medicare programs. These “dual eligibles” receive coverage for most medical services from Medicare, and they also receive Medicaid assistance for Medicare premiums and cost-sharing and coverage of benefits not offered under Medicare (such as long-term care).
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A Focus Group with Medicaid Directors: As FY 2012 Ends, Looking Toward FY 2013
ReportThis report is based on a focus group discussion in May 2012 with the Executive Board of the National Association of Medicaid Directors (NAMD) and other leading Medicaid directors. The group of nine directors reflected perspectives from various regions of the country.
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Current and Emerging Issues in Medicaid Risk-Based Managed Care: Insights from an Expert Roundtable
Issue BriefHalf of all Medicaid enrollees receive care through comprehensive risk-based managed care organizations (MCOs). Most Medicaid MCO enrollees today are low-income children and parents, but states are increasingly moving beneficiaries with more complex needs into MCOs.
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Managed Care and Low-Income Populations: Four Years’ Experience with TennCare
ReportManaged Care and Low-Income Populations: Four Years' Experience with TennCare This report updates an earlier study of Tennessee'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.