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- September 19, 2014
Health Advocate: Medicaid Managed Care: Modernized Federal Regulations are Long
Read moreIn 1965, when the Medicaid program was created, American health care bore little resemblance to the complex system we have today. One of the most significant changes has been the expanding role of managed care. In its early years, Medicaid was almost exclusively a fee-for-service system in which providers…
- September 17, 2014
Medicaid Managed Care Model Provisions, Issue 3
Abbi Coursolle and dfitzgerald Issue BriefRead more - August 29, 2014
Managed Care & Older Adults Series, Issue 1
Read moreElderly African Americans and Hispanics are more likely to have lower incomes and poor health status and to live with multiple chronic health conditions than their white counterparts. This paper provides background information and data on the health status of low-income seniors of color and summarizes the critical ingredients…
- August 19, 2014
Managed Care in CA Series, Issue 1: Network Adequacy Laws (Revised May 7, 2018)
Read moreManaged Care and California Series Issue 1: Medi-Cal managed care plans are capitated, meaning. they receive a set payment per enrollee per month in exchange for providing services. The plans contract on a "comprehensive risk" basis, which means they accept the risk of incurring a loss if they spend…