In May 2016, the Centers for Medicare & Medicaid Services (CMS) finalized sweeping regulatory changes for managed care in Medicaid and the Children’s Health Insurance Program (CHIP). Almost nine of every 10 children enrolled in Medicaid and CHIP receive health care through a managed care arrangement. This paper examines the impact of Medicaid/CHIP Managed Care […]
Medicaid is an essential source of health coverage for the nation’s children. The program provides health coverage to children and parents in low-income families who lack access to affordable private health insurance, as well as to children with special health care needs.
How is Florida’s Medicaid managed care working for children? To answer this question, we looked at existing data sources and also conducted a survey of pediatricians in Florida. Our results suggest there is considerable room for improvement in Medicaid managed care for Florida’s children.
More than two years after the onset of expanded Medicaid coverage, significant differences are emerging between states that opted to expand Medicaid and those that did not. This report contains the findings of telephone interviews with eleven leaders of hospital systems and federally qualified health centers (FQHCs) in seven states. Three of the states where we conducted interviews […]
Summary This paper addresses changes needed to improve the ability of Marketplace coverage to meet children’s needs. As the paper notes, relatively few children (approximately one million) receive their coverage through the Marketplace; most in public coverage are served through Medicaid and the Children’s Health Insurance Program. As a new source of coverage, and one […]
Since 2011, the U. S. Department of Health and Human Services (HHS) has released an “Annual Report on the Quality of Care for Children in Medicaid and CHIP.” The report includes data submitted by the states on the Child Core Set of Health Care Quality Measures (child core set) and summarizes the results of the […]
