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...

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...

This report, based in part on a survey of state Medicaid directors in 50 states, examines current and potential local government roles in Medicaid managed care, their capacity to serve special needs populations, and related political, historical, administrative, and regulatory considerations, to...

This new study shows that Medicare beneficiary information-gathering behavior and experience with Medicare managed care were more highly associated with knowledge about Medicare managed care than formal education, age, income, or membership in a managed care plan before enrolling in Medicare....

Reviews federal and state oversight of section 1115 Medicaid managed care demonstrations in HI, OK, RI, and TN, functions that barely existed in fee-for-service Medicaid. Notes that monitoring has improved over time but is not yet ensuring access and quality.

In 2000, California legislated parity coverage for mental health care. This article reviews the experiences of state health plans, providers, and consumers between 2000 and 2005 in implementing parity and discusses implications for the 2008 federal parity law. California’s experiences suggest...