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....

Oklahoma’s Medicaid managed care 1115 waiver program, SoonerCare, has been through many changes in the last 15 years, including the end of fully capitated managed care in 2003 and expansion statewide of the SoonerCare Choice enhanced primary care case management program. Mathematica’s...

Examines the erosion of choice and benefits through 2001, including changes in penetration rates for individual states and changes in choice among urban and rural areas.