This Data Spotlight reviews trends in Medicare Advantage plan offerings, choices available to beneficiaries, and the premiums and selected characteristics of the available plans in 2012. Despite concerns about the potential effects of reductions in payments included in the 2010 health reform...

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,...

Examines M+C participation issues from the perspective of eight national firms that account for more than 70 percent of M+C enrollment nationwide. Notes that M+C products generally do not represent a major line of business for most firms, with the exception of Humana and PacifiCare, where M+C...

The role of private health plans in Medicare expanded substantially in 2004 under the Medicare Modernization Act, which builds on plan experience under Medicare+Choice, created in 1997 to offer more managed care choices for beneficiaries and recently renamed Medicare Advantage. Although sponsors...

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...

This brief, the last of three case studies examining key operational aspects of coordinated care initiatives in Medicaid, focuses on Rhode Island's Chronic Care Sustainability Initiative. This multi-payer, patient-centered medical home initiative includes the one Medicaid health plan in the...

This data spotlight, prepared by Mathematica and Kaiser Family Foundation health experts, provides an overview of Medicare Advantage enrollment patterns in March 2013 and examines variations by plan type, state, and firm. It also analyzes trends in premiums paid by beneficiaries enrolled in...

Examines the following: —Does Medicare spending vary geographically? —How much of the variation is due to differences in population mix and prices across areas? —What explains the remaining variation? —Do people in higher spending areas get better care?