Improving Systems
As managed care and particularly mandatory managed care programs have become the predominant model for delivering care in Medicaid, there has been a growing recognition of the need to provide potential enrollees with accurate and timely information about their managed care options, to enable and encourage an active choice of plans, and to ensure that […]
As my colleague, Kelly Whitener, announced last week, thanks to a grant from the Robert Wood Johnson Foundation, CCF has teamed with NHeLP to launch a series of explainer briefs to unpack the new Medicaid/CHIP managed care regulations. The first brief, Looking at the New Medicaid/CHIP Regulations Through a Children’s Lens, was published last week. […]
Over the past decade or so as managed care has become the predominant delivery system in Medicaid and CHIP, there has been a growing recognition of the need for current, accurate, and thorough consumer information to aid potential managed care enrollees in making an informed plan selection and in understanding how to maximize their benefits […]
I’m here in Sarasota, Florida today to release our new study looking at the quality of care for the approximately two million kids receiving health care services through Florida’s Medicaid managed care program. The study was commissioned by the Sarasota Herald-Tribune and supported by the Community Foundation of Sarasota County. We appreciate their wonderful partnership on […]
The so-called “Free Care Rule” prevented states from receiving federal Medicaid funds to provide any service that is ordinarily provided for free to the community at large, even if Medicaid would cover these services for its beneficiaries. For instance, if a public school nurse were to examine a student, federal funds could not be used […]
Earlier this week, CMS released the much-anticipated final rule on Medicaid and CHIP managed care. The rule marks the first update to Medicaid managed care rules in over a decade, and it comes at a time when more and more Medicaid beneficiaries are covered under managed care arrangements. Three-quarters of children, and virtually all adults […]
