Managed Care

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July 23, 2013
Medicaid and CHIP Payment and Access Commission (MACPAC) Report to the Congress
dfitzgerald Manual/Report
This Report examines managed care in Medicaid, focusing on the enrollees served, participating plans, spending, payment, access, data, and program accountability. It served as a starting point for building the analytic framework the Commission will use to assess access, evaluate payment policy, and determine key data needs in future…
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July 23, 2013
Update on Private Enforcement of Medicaid Act
Jane Perkins Issue Brief
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July 23, 2013
Performance of Risk-based MCOs: HEDIS Snapshot from DC
Jane Perkins Issue Brief
States? use of managed care has expanded steadily over the last 30 years. The Kaiser Commission on Medicaid and the Uninsured recently surveyed Medicaid managed care in the 50 states and found that, overall, 30 of the 48 states with comprehensive managed care programs are contracting with risk-based…
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July 23, 2013
NHeLP Comments: Patient Protection and Affordable Care Act; Establishment of Ex
dfitzgerald Comments
VIA ELECTRONIC SUBMISSIONCenters for Medicare & Medicaid ServicesDepartment of Health and Human ServicesPO Box 8010Baltimore, MD 21244-8010Attention: CMS-9989-FPatient Protection and Affordable Care Act;Establishment of Exchanges and Qualified Health Plans;Exchange Standards for EmployersFinal rule; Interim final ruleDear Sir/Madam:The National Health Law Program (NHeLP) is a public interest law firm working…
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July 23, 2013
Q & A: Medicaid Managed Care and Disability Protections
Sarah Somers Issue Brief
In 2010, more than 70% of Medicaid beneficiaries received services through some type of managed care arrangement. Increasing numbers of people with disabilities, including those eligible for both Medicare and Medicaid (dual eligibles) are being required to enroll in mandatory managed care. Thus, advocates and policy makers are concerned…
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July 23, 2013
Improving Oral Health Care: ACA Initiatives and IOM Recommendations
Corey Davis Issue Brief
Introduction Good oral health is essential to good overall health. The largely preventable problem of poor oral health has widespread repercussions ranging from lost time at school and work to reduced quality of life and increased incidence of non-oral health problems. It is exacerbated…
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Medicaid and CHIP Payment and Access Commission (MACPAC) Report to the Congress

Update on Private Enforcement of Medicaid Act

Performance of Risk-based MCOs: HEDIS Snapshot from DC

NHeLP Comments: Patient Protection and Affordable Care Act; Establishment of Ex

Q & A: Medicaid Managed Care and Disability Protections

Improving Oral Health Care: ACA Initiatives and IOM Recommendations