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...

Growing interest in using consumer satisfaction information to enhance quality of care and promote informed consumer choice has accompanied recent expansions in managed care. This article synthesizes information about consumer satisfaction surveys conducted by managed-care plans, government 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...

Reviews projects in TN, HI, RI, OK, and MD, where there were large expansions of Medicaid managed care implemented through Section 1115 demonstration waivers. Notes that the projects were controversial and chaotic in the beginning but have matured with time and that Tennessee's expansion reduced...

This article describes lessons from Covering Kids & Families® (CKF) and covers topics such as how outreach, simplification, and coordination increase enrollment of low-income children and their families in Medicaid and SCHIP. The authors suggest that funders should consider the...

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.