To improve beneficiary care and reduce unnecessary expenditures, a number of states have developed programs and initiatives aimed at improving the coordination and management of care for dual eligibles—beneficiaries enrolled in both Medicaid and Medicare for their health care services....

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,...

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...