This brief informs research¬ers and policymakers on the availability and usability of encounter data for Medicaid managed care. It builds on previous reviews of MAX 2007 and 2008 encounter data by evaluating the MAX 2009 physician, outpatient and clinic services, inpatient hospital services,...

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 issue brief focuses on Colorado's Medicaid reform initiative, the Accountable Care Collaborative, and one of its three core components, the Statewide Data Analytics Contractor. This component supports primary care providers networked to seven regional care collaboratives and provides data...

Mathematica health experts collaborated with staff at the Kaiser Commission for Medicaid and the Uninsured to author this brief, the second of three case studies examining key operational aspects of coordinated care initiatives in Medicaid, which focuses on the Transitional Care Program...

This issue brief focuses on Colorado's Medicaid reform initiative, the Accountable Care Collaborative, and one of its three core components, the Statewide Data Analytics Contractor. This component supports primary care providers networked to seven regional care collaboratives and provides data...

This brief, the last of three case studies examining key operational aspects of coordinated care initiatives in Medicaid, focuses on Rhode Island's Chronic Care Sustainability Initiative. This multi-payer, patient-centered medical home initiative includes the one Medicaid health plan in the...

Describes the different kinds of supplemental coverage available, including employer-based coverage, Medicaid, and the individual private Medigap and Medicare HMO markets. Also examines whom these plans attract, and what this means for beneficiary education and the design of Medicare reform.

Looks at three states with behavioral health carveouts--Maryland, Oregon, and Tennessee, noting that Medicaid managed care forces policymakers to confront competing policy objectives, a multiplicity of stakeholders, and diverse patients, many with complex needs. Furthermore, existing inequities...

This brief, developed by staff at Mathematica and the Kaiser Family Foundation, looks at efforts by a number of states to set up accountable care organizations (ACOs) within their Medicaid programs. The analysis reveals that many initiatives are in a very early stage of development. Medicaid's...