Examines the importance of good administrative data to Medicaid and SCHIP programs, as well as the cost to states of not improving their administrative files. Also suggests ways that states can improve their data files to make them better tools for guiding policy decisions.

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...

The primary objective of the research in the National Long-Term Care Channeling Demonstration was to determine the impacts of the demonstration on service utilization, public and private costs, clients and caregivers. The demonstration employed a randomized experimental design with random...

Assesses the extent of risk selection among managed care plans, finding substantial evidence of persistent risk selection.

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...

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...