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...

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...

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...

Focuses on implementation in six communities: Albuquerque, Baltimore, Detroit, New Orleans, Orlando, and Orange County, CA. Examines (1) what choices actually exist; (2) how well beneficiaries understand their choices; (3) what information beneficiaries want and need to make choices; (4) how...

Notes that 14 percent of Medicare beneficiaries had no source of supplemental coverage to pay costs not covered by Medicare. Medicare HMOs are an important source of coverage, especially for those who do not receive supplemental coverage under an employer group. Although HMOs in New Orleans seem...

Notes that 11 percent had no source of supplemental coverage. Twenty-nine percent have coverage through an HMO but no other form of subsidized coverage.

Notes that 46 percent of local Medicare beneficiaries were enrolled in an HMO in 2000, one of the highest penetration rates in the country. Also notes that only 8 percent of beneficiaries in Albuquerque--versus 17 percent nationally--had no supplemental coverage to pay for costs not covered by...