Improving Systems
By Tara Mancini Accountable Care Organizations (ACOs) have been in vogue for some time when it comes to coordinating care for Medicare patients; however, it is a relatively novel ideal for managing Medicaid populations. The populations covered by Medicaid differ vastly from that of Medicare, and therefore Medicaid ACOs require some different practices. A new […]
A hot issue in many states today is whether or not to move more Medicaid beneficiaries, and often very vulnerable beneficiaries, into managed care. Indeed, many managed care companies are interested in getting or keeping a foot in the Medicaid market given the expansion of Medicaid coming in 2014. And many, though not all, states are […]
By Laura Summer, Georgetown University Health Policy Institute (Editor’s Note: Given the increasing interest in Medicaid managed care among states eager to achieve cost-savings, we asked our colleague Laura Summer to blog for us on her latest report on managed care. Her report focused on long-term care services but it provides some helpful insights into broader […]
Medicaid is a critical part of Florida’s health care system. It covers 3.1 million people in the state, the majority of whom are children. In 2006, a five-year pilot program that replaced traditional Medicaid with an unusual managed-care model and other features that required a Section 1115 waiver from the federal government. In 2012, there […]
As policymakers across the country look to balance their budgets, some are turning to Medicaid, recycling the same harmful policies they’ve used year-after-year: eliminating coverage for vulnerable Americans, restricting critical benefits like prescription drug coverage, imposing premiums on those who can’t afford them, and slashing already-low provider reimbursement rates. Community Catalyst and Georgetown University Health […]
By Martha Heberlein States may choose to adopt managed care in Medicaid for a number of reasons. For example, they may be interested in improving care management and coordination. Others may wish to gain more predictability in spending or increase accountability for access to providers and quality of care. No matter what the reason (or […]
