Children with special health care needs who are enrolled in commercial, employer-based health insurance plans may be at high risk for inadequate access to needed health services. This report provides new and important information on patterns of service use and cost for 30,000 children with...

Elders who are frail because of disability, multiple chronic conditions, and other factors account for a growing share of the population, yet they are often poorly served by a health care system that is focused on acute care episodes. This report for the 147 examines its Program for Elders in...

Notes that Florida's Medicaid managed care program continues to face many of the same issues as it has historically: demands of litigation diverted agency resources and slowed progress in enhancing oversight and education. The joint use of HMOs and PCCM components, combined with other issues,...

Updates a 1996 case study of Medicaid managed care initiatives in Texas, finding that the state has made progress in rolling out its program, but the conversion has taken longer than expected. Furthermore, major issues have arisen in each county, partly because of the uniqueness of each local...

Patients in Medicare HMOs who experience strokes are more likely to be discharged to nursing homes and less likely to go to rehabilitation facilities following the acute event. However, they have similar survival patterns compared with comparable patients in FFS settings after adjusting for...

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...