Reviews projects in TN, HI, RI, OK, and MD, where there were large expansions of Medicaid managed care implemented through Section 1115 demonstration waivers. Notes that the projects were controversial and chaotic in the beginning but have matured with time and that Tennessee's expansion reduced...

Reviews the experiences of FQHCs in HI, RI, and TN before and after Medicaid managed care, noting that all survived despite challenges in adapting to managed care. Overall, financial performance was better than expected because coverage expanded to previously uninsured people, and FQHCs in two...

Based on case studies in seven states, examines three critical questions about Medicaid managed care: 1) Does experience with it facilitate program operations? 2) Can it deliver on important goals? 3) Can states extend it beyond low-income families and children to others? Notes that it may be a...

This paper examines how the HITECH Act could be harnessed to help practices implement technology and support key principles of the PCMH.