Reviews Tennessee's experience setting, monitoring, and updating capitation rates for Medicaid managed behavioral health care and draws lessons for other states. Finds that the initial behavioral health rate was inadequate, primarily because of the way available information was used, rather than...

KidsWell's premise is that the Affordable Care Act is the most viable near term policy option to cover all children.

Analysis of the first year of implementation found that Enroll America successfully met its stated goals.

A synthesis of findings from all components of the evaluation concludes that each of the five states, by introducing managed care, have enhanced the potential for improving the quality of care delivered to Medicaid beneficiaries. In addition, the coverage expansions yielded much better...

This report describes the nine programs approved for Express Lane Eligibility (ELE) as of April 2012. The report found that states have implemented diverse ELE programs, and ELE has benefited applicants in some states by reducing documentation requirements and expediting eligibility...

As part of the Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA), Congress permitted Express Lane Eligibility (ELE), which allows state Medicaid and/or CHIP programs to rely on another public agency's eligibility determination to qualify children for public health coverage...

Evaluates environmental, program-related and operational barriers to achieving CKF program goals.

Health insurance coverage in New Jersey is threatened on all sides: private insurance coverage is eroding; the number of uninsured individuals is growing; and state budget pressure, combined with federal policy pressure, could lead to public insurance coverage cutbacks. This issue brief presents...

Examines two generations of Social HMOs (S/HMO I and S/HMO II), models of managed care that incorporate additional long-term care benefits and care coordination services for Medicare beneficiaries. Finds that one of the three S/HMO I plans examined has implemented innovative geriatric...