As populations age, most industrialized nations are seeking to review their long-term care programs and better allocate better limited public resources to meet expanding needs. This commentary piece examines critical questions that define the way individual nations provide for the long-term care...

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...

This summary provides an overview of the Medicare Advantage (MA) marketplace and highlights key changes between 2009 and 2010. On average, Medicare beneficiaries will be able to choose from more than 30 MA plans in 2010—in addition to the traditional Medicare program. Beneficiaries who...

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 Data Spotlight provides an overview of Medicare Advantage enrollment patterns in March 2012, including variations by plan type, state, and firm. It also analyzes trends in premiums paid by beneficiaries enrolled in Medicare Advantage plans including variations by plan type, and describes...

Extraordinary growth in managed care arrangements over the past decade has been both widely praised and criticized. Proponents and critics agree that the nature of medical practice is being profoundly altered by this growth, even if they cannot articulate the direction and consequences of this...

Provides a timely profile of how managed care plans—especially those at financial risk—structure their networks and pay providers, finding that contractual arrangements between plans and providers are complex and diverse across and within networks. Furthermore, HMO contracts with...