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of chronic conditions, and often need atypical and complex services. Risk selection occurs when the health care needs of …
Persistent link: https://www.econbiz.de/10011167140
Presents results from the six-year evaluation, noting that the programs filled important gaps in services, that strong program administration and leadership are associated with better implementation and outcomes, and that coordination with existing clinical services is important.
Persistent link: https://www.econbiz.de/10011100574
Notes that Florida's Medicaid managed care program continues to face many of the same issues as it has historically: demands of litigation diverted agency resources and slowed progress in enhancing oversight and education. The joint use of HMOs and PCCM components, combined with other issues,...
Persistent link: https://www.econbiz.de/10011100591
This Highlight focuses on how North Carolina and Pennsylvania are testing how well the Children's Electronic Health …
Persistent link: https://www.econbiz.de/10011100620
of stratification used by states in their analyses, such as beneficiary, provider, or health plan, and the frequency with …
Persistent link: https://www.econbiz.de/10011100644
Examines M+C participation issues from the perspective of eight national firms that account for more than 70 percent of M+C enrollment nationwide. Notes that M+C products generally do not represent a major line of business for most firms, with the exception of Humana and PacifiCare, where M+C...
Persistent link: https://www.econbiz.de/10011100673
Persistent link: https://www.econbiz.de/10011100678
KidsWell's premise is that the Affordable Care Act is the most viable near term policy option to cover all children.
Persistent link: https://www.econbiz.de/10011100695
With Medicaid managed care enrollment accelerating, policymakers must quickly understand the lessons from the states so that the transition to managed care strengthens access and care systems and avoids problems. Our study of five recent state experiences shows that state objectives must be...
Persistent link: https://www.econbiz.de/10011100709
The use of the emergency departments as a regular source of sick care has been increasing, despite the fact that it is costly and is often an inappropriate source of care. This study examines factors associated with routine use of emergency departments by using a national sample of US children.
Persistent link: https://www.econbiz.de/10011100715