Looks at three states with behavioral health carveouts--Maryland, Oregon, and Tennessee, noting that Medicaid managed care forces policymakers to confront competing policy objectives, a multiplicity of stakeholders, and diverse patients, many with complex needs. Furthermore, existing inequities...

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...

Notes that health plans leaving the market in 2001 were more likely to have had lower enrollments, higher premiums, and less generous benefits than those that remained, indicating possible competition problems.

To improve beneficiary care and reduce unnecessary expenditures, a number of states have developed programs and initiatives aimed at improving the coordination and management of care for dual eligibles—beneficiaries enrolled in both Medicaid and Medicare for their health care services....