This brief summarizes issues discussed at a recent roundtable on Medicaid risk-based managed care, convened by the Kaiser Commission on Medicaid and the Uninsured and moderated by senior fellow Marsha Gold. Topics covered included provider networks, care delivery, and payment arrangements;...

This brief summarizes issues discussed at a recent roundtable on Medicaid risk-based managed care, convened by the Kaiser Commission on Medicaid and the Uninsured and moderated by senior fellow Marsha Gold. Topics covered included provider networks, care delivery, and payment arrangements;...

Discusses the diverse capacities and vulnerabilities of different groups of Medicare beneficiaries and how well current information strategies address their needs. Notes that policymakers should be aware of this diversity and the need for transitional and targeted education strategies to reach...

Notes that 11 percent had no source of supplemental coverage. Twenty-nine percent have coverage through an HMO but no other form of subsidized coverage.

Several HMOs participating in Medicare+Choice have a July 1 deadline to decide to change their benefit packages or withdraw from the program, affecting health care for many of the six million elderly and disabled Americans now enrolled in Medicare managed care. This new report examines future...

This case study of four well-regarded managed care organizations found that they made numerous innovations to improve care delivery for elderly Medicare beneficiaries with chronic illnesses and disabilities. Using the flexibility provided by capitation, they added new services in 1) screening to...

Reviews the early effects of the Benefits Improvement and Protection Act, which raised payment rates as of March 2001. Notes that only a few plans re-entered but those that did had important roles in their markets. As time goes on, effects are more likely to be seen in urban areas, since the...