This article uses 2005 and 2008 Medicaid Analytic eXtract (MAX) data to present spending and enrollment trends for adults with disabilities who are dually eligible for Medicare and Medicaid. Nationwide, the proportion of adult duals in managed care increased from 2005 to 2008, with the expansion...

Oklahoma’s Medicaid managed care 1115 waiver program, SoonerCare, has been through many changes in the last 15 years, including the end of fully capitated managed care in 2003 and expansion statewide of the SoonerCare Choice enhanced primary care case management program. Mathematica’s...

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...

Patients in Medicare HMOs who experience strokes are more likely to be discharged to nursing homes and less likely to go to rehabilitation facilities following the acute event. However, they have similar survival patterns compared with comparable patients in FFS settings after adjusting for...

A synthesis of findings from all components of the evaluation concludes that each of the five states, by introducing managed care, have enhanced the potential for improving the quality of care delivered to Medicaid beneficiaries. In addition, the coverage expansions yielded much better...