Medicaid

This paper provides a targeted review of Tennessee’s experience providing health care to individuals with special needs under TennCare, its Medicaid managed care initiative. The first part reviews the experience of TennCare Partners, the behavioral health carve-out program created in 1996. The second part reviews how TennCare’s structure affects the disabled and chronically ill.

This fact sheet provides an overview of the role of Medicare and Medicaid in serving these beneficiaries, describes the health status of dual Medicare/Medicaid beneficiaries, and discusses issues of managed care and access to care.This fact sheet is a summary of a longer Background Paper (#2132), which is also available.Fact…

Trends in Commercial Plans' ParticipationThis 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. It also looks at trends through mid-1998…

The purpose of this issue paper is to explain Federal Medicaid eligibility policy for the low-income elderly population and discusses Federal and State policy options to improve coverage.Issue Paper

California’s Undocumented Latino Immigrants: A Report on Access to Health Care Services This report provides the results of a survey of undocumented Latino immigrants in two California counties (Fresno and Los Angeles), including their access to health care services, insurance status, health status, and economic circumstances. Report

Employment-Based Health Insurance Coverage and its Decline:The Growing Plight of Low-Wage WorkersThis background paper examines the increase in uninsured workers and the growing disparity in health insurance coverage between low- and high-wage workers. While a larger proportion of higher wage workers had health coverage in 1996 than a decade before,…

Medicaid Managed Care for Persons With Disabilities: State ProfilesThis 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…

Medicare Beneficiaries: A Population at RiskFindings from the Kaiser/Commonwealth Fund 1997 Survey of Medicare BeneficiariesCathy Schoen, Patricia Neuman, Michelle Kitchman, Karen Davis, and Diane RowlandDecember 1998Table Of ContentsExecutive SummaryFindings from the Kaiser/Commonwealth 1997 Survey of Medicare BeneficiariesMedicare Beneficiaries: Health Status and IncomeHealth Insurance CoverageSatisfaction, Access, and Financial Burden: Variations by…

Medicare Beneficiaries: A Population At Risk – Findings from the Kaiser/Commonwealth 1997 Survey of Medicare BeneficiariesThis report by the Henry J. Kaiser Family Foundation and the Commonwealth Fund, based on the Kaiser/Commonwealth 1997 Survey of Medicare Beneficiaries, highlights the challenges facing Medicare beneficiaries and the importance of addressing the needs…

This report describes and analyzes key Medicare+Choice provisions in the Balanced Budget Act and the accompanying regulations related to consumer protections. It explains how the BBA makes significant improvements for beneficiaries in the areas of access, appeals, and quality. It also explores areas that could be strengthened to better serve…