For the low-income elderly and disabled, Medicaid can cover some or all of the out-of-pocket expenses that remain after Medicare coverage. However, Medicaid participation for these groups is low. Using recent experience in promoting SCHIP participation, this brief examines barriers to Medicaid...

As enrollment in Medicaid managed care grew through the 1990s, the number of health plans willing to participate in state Medicaid programs became a growing concern. Notes that between 1997 and 1999, 15 to 17 of participating plans exited Medicaid annually, a higher rate than in previous years.

Describes trends in expenditures on medical benefits and on program administration in the five study states and compares them to those in the nation as a whole. Notes that there is no clear evidence that the demonstrations had a dramatic impact on expenditures in any of the states. Expenditures...

This is one volume of a two-part study to understand the rates and patterns of enrollment in Medicaid among individuals already enrolled in Medicare, the factors that predict this transition to dual coverage, and factors that predict nursing home entry. This volume provides estimated econometric...

This technical assistance brief explores ways of improving the coordination of these overlapping benefits in the Centers for Medicare & Medicaid Services (CMS) Financial Alignment Initiative’s capitated model demonstrations.

This study examines the value of state Medicaid program spending by exploring the relationship between both sides of the efficiency coin—costs and outcomes. The authors create measures that relate spending per beneficiary to quality indicators, compare states’ performance, and...

This technical assistance brief discusses strategies for accessing vital records for quality measurement and improvement efforts related to maternal and infant health care in Medicaid and the Children's Health Insurance Program (CHIP). The brief also gives guidance and describes resources...

This is the final report on findings from an evaluation of the Children’s Health Insurance Program (CHIP) that was mandated in the CHIP Reauthorization Act. The evaluation was conducted by Mathematica Policy Research and its partner The Urban Institute, and was overseen by the Office of...

This technical assistance brief, prepared for the Integrated Care Resource Center, provides basic information for states participating in the Centers for Medicare & Medicaid Services’ capitated Financial Alignment Demonstration covering Medicare-Medicaid enrollees. Although not a...