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...

This brief assesses the availability, completeness, and quality of the inpatient and prescription-drug encounter data in the MAX system in order to judge the data's usability.

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...

Elders who are frail because of disability, multiple chronic conditions, and other factors account for a growing share of the population, yet they are often poorly served by a health care system that is focused on acute care episodes. This report for the 147 examines its Program for Elders in...

Examines the erosion of choice and benefits through 2001, including changes in penetration rates for individual states and changes in choice among urban and rural areas.