Managed Care
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Medicaid/CHIP Managed Care Regulations: Assuring Quality
While the rules governing Medicaid/CHIP managed care remained unchanged for more than a decade, significant advances have been made in assessing quality, access, and timeliness of care in health coverage programs. During this time, there has been a growing recognition of the need to ensure that the care delivered through capitated managed care arrangements is…
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How One Florida Newspaper Went Beyond Reporting to Spur Original Research
(This blog was originally published by the USC Annenberg Center for Health Journalism.) By Maggie Clark, Sarasota Herald Tribune Some of the best ideas are the ones that initially sound the craziest. I was about four months in on my reporting on Florida’s Medicaid managed care program, and I was hitting a wall. I’d been…
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Medicaid/CHIP Managed Care Regulations: Network Adequacy and Access to Services
Georgetown University Center for Children and Families (CCF) and the National Health Law Program (NHeLP) have teamed up to bring advocates for children and low-income families critical information about the recently finalized Medicaid and CHIP managed care regulations. This paper is the fourth in the series, and it describes how the new rules assure network…
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Medicaid/CHIP Managed Care Regulations: Enhancing the Beneficiary Experience
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…
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Medicaid/CHIP Managed Care Series
The Centers for Medicare and Medicaid Services (CMS) finalized sweeping Medicaid and CHIP managed care regulations earlier this year. The rules cover a wide range of topics important to children and low-income families such as improving consumer information, enhancing the beneficiary experience, assuring network adequacy and access to services, advancing quality, and ensuring accountability and transparency. The sheer…
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How the New Medicaid/CHIP Managed Care Regulations Improve Consumer Information
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.…
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Medicaid/CHIP Managed Care Regulations: Improving Consumer Information
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…
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Introducing our Medicaid/CHIP Managed Care Series
As readers of Say Ahhh! know all too well, CMS recently finalized sweeping Medicaid and CHIP managed care regulations. The rules cover a wide range of topics important to children and low-income families, like improving consumer information, enhancing the beneficiary experience, assuring network adequacy and access to services, advancing quality and ensuring accountability and transparency.…
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Looking at the New Medicaid/CHIP Managed Care Regulations Through a Children’s Lens
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…
