This brief discusses the key components of existing disease management and care management programs that could be incorporated into integrated care programs for Medicare-Medicaid enrollees and other high-cost, high-need Medicaid beneficiaries.

This brief from the Integrated Care Resource Center (ICRC) reviews primary care case management and related FFS models to gather insights into key program design elements needed to manage care for high-need, high-cost beneficiaries with multiple conditions.

This Center for Health Care Strategies policy brief draws insights from 10 states with programs for low-income childless adults to shed light on the likely care needs and costs of the 16 to 20 million new Medicaid beneficiaries who will be brought into the program in 2014. A significant subset...

This report describes notable variations in how state Medicaid agencies administer and fund Medicaid mental health services. It is based on telephone interviews with all state and District of Columbia Medicaid directors or their designees. Medicaid and mental health agencies are located in the...

This chartbook presents highlights and key comparisons from the state-by-state Statistical Compendium on Medicaid pharmacy benefit use and reimbursement in 2006, which is available on the CMS website. The 2006 data show the initial impact on Medicaid of the movement of prescription drug coverage...

This chartbook highlights national and state-by-state data on Medicaid prescription drug use and expenditures for 2005 by beneficiary characteristics (age, sex, and race), basis of eligibility (children, adults, disabled, and aged), and type of drug (brand vs. generic, top 10 drug groups, top 7...

This primer aims to help states collect, use, and report encounter data—the claims records of health care services paid by managed care organizations. It also provides guidance on submitting encounter data to the Medicaid Statistical Information System.