Medicaid and Managed Care
This fact sheet provides an overview of the Medicaid program's increasing reliance on managed care to deliver services.
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Individuals With Disabilities and their Experiences with Medicaid Managed Care
ReportToday, one out of every four disabled Medicaid beneficiaries receives health care through managed care. This Background Paper provides insights into how Medicaid managed care is working for individuals with disabilities, based on the findings from seven focus groups held in Florida and New Mexico.
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Managed Care and Low-Income Populations: Case Study of Managed Care in Maryland
ReportThis report analyzes Maryland's Medicaid managed care program, HealthChoice, an ambitious and broad-reaching effort to reform the financing and delivery of health care for over 300,000 low-income individuals.
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The Changing Medicaid Managed Care Market
ReportTrends in Commercial Plans' Participation This background paper analyzes the trends in commercial plan participation in the Medicaid market by using a database specifically designed for this purpose. It examines changes from mid-1996 to mid-1997 in the types of full-risk plans serving Medicaid Beneficiaries.
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Medicaid’s Disabled Population and Managed Care
Other PostMedicaid'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.
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Medicaid Managed Care for Persons With Disabilities: State Profiles-2114
ReportMedicaid Managed Care for Persons With Disabilities: State Profiles This report provides state estimates of the number of Medicaid disabled enrolled in managed care and profiles these programs. It provides detailed comparative state information on enrollment, program features, rate setting, quality issues, and special enrollment features for the disabled in Medicaid managed care.
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Medicaid Managed Care: An Analysis of the Health Care Financing Administration’s Notice of Proposed Rulemaking
ReportMedicaid Managed Care: An Analysis of the Health Care Financing Administration's Notice of Proposed Rulemaking Report: Medicaid Managed Care: An Analysis...
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Protection For Consumers In Managed Care Plans: A Comparison Of Medicare, Medicaid and the Private Insurance Market
ReportThis policy paper describes key requirements of consumer protection regulation under Medicare, Medicaid and federal and state laws as they apply to private health insurance. These include choice and availability of plans, disclosure of information, marketing, access, quality, and the grievance and appeals process.
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Native Americans and Medicaid: Coverage and Financing Issues
ReportMedicaid plays several different roles of significance to Native Americans. Through its purchase of managed care products, Medicaid is reshaping the health care delivery system for many Native Americans and other underserved low-income populations. Medicaid also assists low-income elderly and disabled Indians who are eligible for Medicare in meeting their premium and cost-sharing obligations.