Managed Care - Research and Data from KFF

Medicaid in an Era of Health & Delivery System Reform: Results from a 50-State Medicaid Budget Survey for State Fiscal Years 2014 and 2015

Oct 14, 2014

Report

This report provides an in depth examination of the changes taking place in state Medicaid programs across the country. The findings in this report are drawn from the 14th annual budget survey of Medicaid officials in all 50 states and the District of Columbia conducted by the Kaiser Commission on Medicaid and the Uninsured and Health Management Associates (HMA), with the support of the National Association of Medicaid Directors. This report highlights policy changes implemented…

Financial and Administrative Alignment Demonstrations for Dual Eligible Beneficiaries Compared: States with Memoranda of Understanding Approved by CMS

Sep 8, 2015

Issue Brief

This issue brief compares the financial alignment demonstrations for beneficiaries who are dually eligible for Medicare and Medicaid in states that have memoranda of understanding approved by the Centers for Medicare and Medicaid Services.

A Focus Group with Medicaid Directors: As FY 2012 Ends, Looking Toward FY 2013

Jun 1, 2012

Report

This 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. The discussion focused on state fiscal conditions, Medicaid spending and enrollment trends, key Medicaid policy changes and federal health care reform implementation. At the time of the meeting, most states were wrapping up…

Native Americans and Medicaid: Coverage and Financing Issues – Report

Dec 30, 1997

Report

Native Americans and Medicaid:Coverage and Financing Issues Prepared by Andy Schneider and JoAnn Martinez, The Center on Budget and Policy Priorities for The Kaiser Commission on the Future of Medicaid December 1997 Table Of ContentsHighlights ii I: Background On Native American Health Care 1 II: Medicaid's Role For Native Americans 4 1. Medicaid as a Source of Health Coverage 4 2. Medicaid as a Source of Revenue for Hospitals and Clinics 6 3. Medicaid and…

Forthcoming Policy Changes to Medicaid State Directed Payments

Jun 15, 2026

Issue Brief

The 2025 reconciliation law reduced federal Medicaid spending by an estimated $911 billion from 2025 through 2034, some of which stems from new restrictions on Medicaid state directed payments (SDPs) for hospital and other health care services. This issue brief describes SDPs and forthcoming policy changes stemming from the 2025 reconciliation law and the proposed regulation to implement those requirements and make other changes.

Federal Medicaid Spending Through State Directed Payments Nears $100 Billion Annually Across 41 States, With New Limits Set to Reduce Funding to States

Jun 15, 2026

News Release

Forty states and DC currently receive $93 billion in annual federal Medicaid spending through state directed payments (SDPs) and may be at risk due to forthcoming limits on these payments, according to new KFF estimates. Annual federal spending on SDPs is highest in California (an estimated $10.6 billion)—followed by Texas ($6.3 billion), North Carolina ($5.2 billion), and Illinois ($5.1 billion).

How do States Deliver, Administer, and Integrate Behavioral Health Care? Findings from a Survey of State Medicaid Programs

May 25, 2023

Issue Brief

KFF surveyed state Medicaid officials about behavioral health policies related to administration, delivery systems, integrated care, and data analytics.

Primers on Key Health Care Topics and Programs

Dec 1, 2008

Issue Brief

The Kaiser Family Foundation maintains a number of primers providing overviews of key health care programs and issues. Written by Foundation staff, each primer provides key data and information that helps illustrate the topic and its relevance for the nation's health care system. Medicaid: A Primer Medicare: A Primer The Uninsured: A Primer Health Care Costs: A Primer How Private Health Coverage Works: A Primer Mental Health Financing in the United States: A Primer The…

Commercial Health Plan Participation in Medicaid Managed Care: An Examination of Six Markets

Dec 30, 2000

Report

The 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

Mandatory Medicaid Managed Care–Plan and Enrollee Perspectives on the Enrollment Process

Dec 30, 2000

Report

The 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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