This article focuses on state efforts to coordinate care for “dual eligiblesâ€â€”Americans covered by both Medicare and Medicaid—within an integrated plan. The study revealed that (1) most beneficiaries currently receive Medicare and Medicaid benefits separately through...

This article examines factors influencing the adoption and meaningful use of health information technology, as well as outstanding challenges to the long-term success of the Health Information Technology for Economic and Clinical Health (HITECH) provisions in the American Recovery and...

Suggests that local forces may explain why the Medicare managed care market has not developed as the optimists predicted.

Suggests that local forces may explain why the Medicare managed care market has not developed as the optimists predicted.

Looks at the characteristics and responsibilities of organizations that mediate risk and care management responsibility between managed care organizations and individual providers, finding that some are experiencing serious financial problems.

This article examines factors influencing the adoption and meaningful use of health information technology, as well as outstanding challenges to the long-term success of the Health Information Technology for Economic and Clinical Health (HITECH) provisions in the American Recovery and...

U.S. Child Welfare systems are involved in the lives of millions of children, and total spending exceeds $26billion annually. Out-of-home foster care is a critical and expensive Child Welfare service, a major component of which is the maintenance rate paid to support housing and caring for a...

Reviews Tennessee's experience setting, monitoring, and updating capitation rates for Medicaid managed behavioral health care and draws lessons for other states. Finds that the initial behavioral health rate was inadequate, primarily because of the way available information was used, rather than...

A study recently published concluded that populations with different types of public health insurance have rates of receiving treatment for a substance use disorder that range from two to four times greater than the privately insured. The study was funded by the Substance Abuse and Mental Health...

With higher payments and expanded private-plan authority, Medicare Advantage (MA) has caused the market to grow. One in three Medicare beneficiaries with Part D now gets this coverage through MA. Analysis of the sources of and reasons for enrollment growth suggest a troubling report card....