This brief summarizes issues discussed at a recent roundtable on Medicaid risk-based managed care, convened by the Kaiser Commission on Medicaid and the Uninsured and moderated by senior fellow Marsha Gold. Topics covered included provider networks, care delivery, and payment arrangements;...

The "managed care backlash" arguably topped the list of media and policy concerns in 1998. Yet, against the background of the highly charged environment in which the future of our health care system continues to be debated, there is a dearth of concrete, "objective" facts on the nature of the...

This publication reviews Medicare's limited experience with preferred provider organizations and private fee-for-service plans. It notes that fewer than 100,000 beneficiaries are now in such plans. The researchers also note concern about feasibility nationally and potentially higher costs.

Reviews the experience of the Oregon Health Plan in serving individuals with special needs, particularly integrating the aged, blind, and disabled populations and mental health and chemical dependency benefits into managed care, noting that careful planning tailored to these populations' needs...

This paper examines how user interest in health services research is shaped by the following factors: the current health care policy environment, the organizations and institutional mechanisms available to advance the movement of health services research into policy and practice, and emerging...

Presents highlights from an analysis of Medicare+Choice premiums and benefits in 2002, noting downward trend in benefit generosity and increased cost sharing for beneficiaries. Printed copies available by calling 888-777-2744 and requesting publication #533.

In recent years, private plan options for Medicare beneficiaries have eroded substantially, with severely limited or no choice in most communities. The Medicare Modernization Act of 2003 (MMA) increased payment rates to plans. Although these increases have yet to cause the number of plan choices...

Describes the different kinds of supplemental coverage available, including employer-based coverage, Medicaid, and the individual private Medigap and Medicare HMO markets. Also examines whom these plans attract, and what this means for beneficiary education and the design of Medicare reform.

Reveals continued growth in premiums in 2001 and a simultaneous continued decline in benefit comprehensiveness. Whether the erosion will persist remains to be seen. For copies, call 212-606-3800.

Examines private plan offerings, enrollment, and change.