The issue of risk selection is especially important for states that enroll blind and disabled beneficiaries of Supplemental Security Income (SSI) in Medicaid managed care. SSI beneficiaries have persistent needs for care, have a wide variety of chronic conditions, and often need atypical and...

Congress mandated in the Balanced Budget Refinement Act of 1999 (BBRA) that the Secretary of the U.S. Department of Health and Human Services conduct an independent comprehensive study of the State Children’s Health Insurance Program (SCHIP). The evaluation was funded through the $10...

Maximizing Enrollment, a national program of the Robert Wood Johnson Foundation, has worked intensively with eight states since 2009 to help them use enrollment and retention data to improve insurance coverage for eligible individuals. This brief shares recommendations for classifying denials...

Presents results from the six-year evaluation, noting that the programs filled important gaps in services, that strong program administration and leadership are associated with better implementation and outcomes, and that coordination with existing clinical services is important.

This Highlight focuses on how North Carolina and Pennsylvania are testing how well the Children's Electronic Health Record (EHR) Format's requirements support the provision of primary care to children and how readily the requirements can be incorporated into existing EHRs.

This brief presents an analysis of the Database of Publicly Available Medicaid and CHIP Performance Measure Reports. It provides background on the database; highlights the types of documents and reports available; and discusses which measure domains are typically represented, including examples of...

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...

KidsWell's premise is that the Affordable Care Act is the most viable near term policy option to cover all children.