Subjects: Managed Care Programs - Digital Collections - National Library of Medicine Search Results

1. Specialty care in the safety net: efforts to expand timely access

Publication:: Oakland, Calif. : California HealthCare Foundation, c2009
Subject(s):: Community Health Centers
Health Services Accessibility
Health Services Needs and Demand
Medicine
Specialization
Communication
Computer Communication Networks
Health Surveys
Hospitals, Public
Managed Care Programs
Medically Uninsured
Poverty
Practice Guidelines as Topic
Referral and Consultation
Telemedicine
Time Factors
Humans
California

2. Weaknesses exist in Medicaid managed care organizations' efforts to identify and address fraud and abuse

Publication:: [Washington, D.C.] : U.S. Department of Health and Human Services, Office of Inspector General, July 2018
Subject(s):: Fraud -- prevention & control
Managed Care Programs
Medicaid
State Government
Humans
United States
United States. Department of Health and Human Services.

3. Medicare Advantage appeal outcomes and audit findings raise concerns about service and payment denials

Publication:: [Washington, D.C.] : U.S. Department of Health and Human Services, Office of Inspector General, September 2018
Subject(s):: Health Services Accessibility
Insurance Claim Review -- statistics & numerical data
Insurance Coverage
Insurance, Health, Reimbursement
Medicare Part C
Financial Audit
Insurance Claim Review -- economics
Managed Care Programs
Humans
United States
United States. Department of Health and Human Services.
Centers for Medicare & Medicaid Services (U.S.)

4. Section 1115 Medicaid expansion waivers: implementation experiences : findings from structured interviews in Arkansas, Indiana, Iowa, & Michigan : final report

Author(s):: Zylla, Emily, author
Planalp, Colin, author
Lukanen, Elizabeth, author
Blewett, Lynn, author
Publication:: [Minneapolis, Minnesota] : State Health Access Data Assistance Center, University of Minnesota, February 8, 2018
Subject(s):: Health Behavior
Health Care Reform -- organization & administration
Medicaid -- organization & administration
Organizational Case Studies
Communication
Cost Sharing
Deductibles and Coinsurance
Emergency Service, Hospital
Facilities and Services Utilization
Health Insurance Exchanges -- economics
Health Services Accessibility
Managed Care Programs
Medical Informatics
Medical Savings Accounts
Personnel Staffing and Scheduling
State Government
Humans
Arkansas
Indiana
Iowa
Michigan
United States
United States.

9. Governors' proposed budgets for FY 2019: focus on Medicaid and other health priorities

Author(s):: Antonisse, Larisa, author
Rudowitz, Robin, author
Gifford, Kathleen, author
Publication:: San Francisco, CA : Henry J. Kaiser Family Foundation, April 2018
Subject(s):: Budgets
Medicaid
Delivery of Health Care
Eligibility Determination
Employment
Managed Care Programs
Mental Health Services
Opioid-Related Disorders -- prevention & control
State Government
Humans
United States
United States.

10. 10 things about Medicaid: setting the facts straight

Author(s):: Rudowitz, Robin, author
Garfield, Rachel, author
Publication:: San Francisco, CA : Henry J. Kaiser Family Foundation, April 2018
Subject(s):: Medicaid -- organization & administration
Federal Government
Insurance Benefits
Insurance Coverage
Managed Care Programs
Poverty
State Government
Humans
United States

11. Beyond health care: the role of social determinants in promoting health and health equity

Author(s):: Artiga, Samantha, author
Hinton, Elizabeth, author
Publication:: San Francisco, CA : Henry J. Kaiser Family Foundation, May 2018
Subject(s):: Delivery of Health Care -- organization & administration
Health Status Disparities
Social Determinants of Health
Community Health Services
Employment
Federal Government
Housing
Insurance, Health, Reimbursement
Managed Care Programs
Medicaid
Medicare
State Government
Humans
United States

12. Medicaid: what to watch in 2019 from the Administration, Congress, and the states

Author(s):: Rudowitz, Robin, author
Musumeci, MaryBeth, author
Artiga, Samantha, author
Publication:: San Francisco, CA : Henry J. Kaiser Family Foundation, January 2019
Subject(s):: Health Care Reform -- organization & administration
Medicaid -- organization & administration
Medicaid -- trends
Forecasting
Home Care Services
Insurance, Health, Reimbursement
Managed Care Programs
Opioid-Related Disorders
State Government
Substance-Related Disorders
Telemedicine
Humans
Puerto Rico
United States
United States Virgin Islands

13. LA story: improving care management for chronically ill and chronically underserved : site visit report

Publication:: Washington, D.C. : George Washington University, 2006
Subject(s):: Chronic Disease
Delivery of Health Care
Medical Indigency
Medically Uninsured
Patient Care Management
Health Care Surveys
Managed Care Programs
Medicaid
Uncompensated Care
Humans
California
Los Angeles
United States

14. Federally qualified health centers and state health policy: a primer for California

15. Public partner: the California Health Benefit Exchange aligned with Medi-Cal

Publication:: [Oakland, Calif.] : California HealthCare Foundation, [2011]
Subject(s):: Community Participation -- economics
Community Participation -- legislation & jurisprudence
Health Care Reform -- economics
Health Care Reform -- legislation & jurisprudence
Insurance Coverage -- economics
Insurance Coverage -- legislation & jurisprudence
Insurance, Health -- economics
Insurance, Health -- legislation & jurisprudence
Managed Care Programs
Medicaid
Public-Private Sector Partnerships
State Health Plans -- organization & administration
Eligibility Determination
Models, Organizational
State Government
Humans
California
United States
United States.

16. Creating better systems of care for adults with disabilities: lessons for policy and practice

Author(s):: Hostetter, Martha, author
Klein, Sarah, author
Publication:: [New York, N.Y.] : Commonwealth Fund, September 2018
Subject(s):: Disabled Persons -- rehabilitation
Health Services Accessibility
Health Services for Persons with Disabilities
Health Services Needs and Demand
Intellectual Disability -- rehabilitation
Intellectual Disability -- therapy
Mental Disorders -- rehabilitation
Mental Disorders -- therapy
Social Support
Employment
Healthcare Disparities
Long-Term Care
Managed Care Programs
Medicaid
Humans
Florida
Minnesota
New York City
Pennsylvania
Tennessee
United States

17. Physician participation in Medi-Cal, 1996-1998

Publication:: Oakland, Calif. : Medi-Cal Policy Institute, c2002
Subject(s):: Managed Care Programs
Medicaid
Physicians -- supply & distribution
Health Services Accessibility -- economics
Practice Patterns, Physicians'
California
California Medical Assistance Program

18. Physician participation in Medi-Cal: 2001

Publication:: Oakland, Calif. : Medi-Cal Policy Institute, c2003
Subject(s):: Managed Care Programs
Medicaid
Physicians -- supply & distribution
Physicians -- trends
Health Services Accessibility -- economics
Practice Patterns, Physicians'
California
California Medical Assistance Program

19. No appointment needed: the resurgence of urgent care centers in the United States

Publication:: Oakland, Calif. : California HealthCare Foundation, c2007
Subject(s):: Ambulatory Care Facilities -- organization & administration
Health Services Accessibility -- organization & administration
Ambulatory Care Facilities -- supply & distribution
Health Facilities, Proprietary -- organization & administration
Health Services Accessibility -- trends
Health Services Needs and Demand -- trends
Managed Care Programs
Patient Satisfaction
Workers' Compensation
Humans
California
United States

20. Managing California's Medicaid dental program: lessons from other states

Publication:: Oakland, Calif. : California HealthCare Foundation, c2009
Subject(s):: Dental Health Services -- organization & administration
Health Services Accessibility -- organization & administration
Medicaid -- organization & administration
Community-Institutional Relations
Fee-for-Service Plans
Health Care Reform
Managed Care Programs
Oral Health
Patient Education as Topic
Poverty
State Government
Humans
California

21. The Medi-Cal prescription drug benefit: an overview

Publication:: Oakland, Calif. : California HealthCare Foundation, [2009]
Subject(s):: Health Expenditures -- trends
Insurance Benefits
Insurance, Pharmaceutical Services
Medicaid
Prescription Drugs -- economics
Adult
Aged
Child
Cost Control
Cost Sharing
Disabled Persons
Drug Costs
Drug Utilization Review
Drugs, Generic
Fee-for-Service Plans
Forecasting
Managed Care Programs
Medicare Part D
Middle Aged
Humans
California

22. Los Angeles: fragmented health care market shows signs of coalescing

Author(s):: Felland, Laurie, author
O'Malley, Ann, author
Samuel, Divya, author
Stark, Lucy, author
Publication:: [Oakland, Calif.] : California HealthCare Foundation, [2013]
Subject(s):: Delivery of Health Care, Integrated
Economics, Hospital
Health Care Reform
Health Care Sector
Health Workforce
Hospital-Physician Relations
Accountable Care Organizations
Health Facility Merger
Health Maintenance Organizations
Local Government
Managed Care Programs
Medicaid
Medically Uninsured
Medicare
Physicians -- supply & distribution
Humans
California
Los Angeles
United States

23. Governor's proposed budgets for FY 2018: focus on Medicaid and other health priorities

Author(s):: Antonisse, Larisa, author
Hinton, Elizabeth, author
Rudowitz, Robin, author
Gifford, Kathleen, author
McMahon, Nicole, author
Publication:: Menlo Park, CA : Henry J. Kaiser Family Foundation, April 2017
Subject(s):: Budgets
Medicaid -- statistics & numerical data
Community Health Services
Cost Sharing
Eligibility Determination
Health Care Reform
Health Policy
Insurance, Health, Reimbursement
Long-Term Care
Managed Care Programs
Medicaid -- economics
Mental Health Services -- economics
Opioid-Related Disorders -- epidemiology
Public Health
State Government
Humans
United States
United States.

24. Health care reform: promises and pitfalls for maternal and child health

Publication:: [Washington, D.C.] : Grantmakers in Health, [2011]
Subject(s):: Child Health Services
Child Welfare
Health Care Costs -- trends
Health Care Reform
Health Services Accessibility -- economics
Insurance Coverage
Insurance, Health
Maternal Welfare
Adult
Budgets
Choice Behavior
Chronic Disease -- prevention & control
Community Participation
Cost Savings
Cost Sharing
Depression -- diagnosis
Depression, Postpartum -- diagnosis
Eligibility Determination -- trends
Financial Support
Financing, Personal
Forecasting
Health Expenditures
Income
Insurance Benefits -- economics
Insurance Coverage -- economics
Insurance Coverage -- legislation & jurisprudence
Insurance, Health -- economics
Insurance, Health -- legislation & jurisprudence
Managed Care Programs
Mandatory Programs -- legislation & jurisprudence
Medicaid
Medically Uninsured
Obesity -- diagnosis
Obesity -- epidemiology
Preventive Health Services -- economics
Private Sector -- economics
State Government
Humans
United States
United States.

25. Partnering with the private sector to achieve total health

Author(s):: Baxter, Raymond J., author
Publication:: [Washington, D.C.] : Grantmakers in Health, December 17, 2012
Subject(s):: Health Promotion -- methods
Managed Care Programs
Public-Private Sector Partnerships
Community Health Services
Obesity -- prevention & control
Humans
United States

26. Medicaid program integrity: CMS should build on current oversight efforts by further enhancing collaboration with states : report to the Chairman, Committee on Finance, U.S. Senate

Publication:: Washington, D.C. : U.S. Government Accountability Office, March 2017
Subject(s):: Financial Audit
Fraud -- prevention & control
Insurance, Health, Reimbursement
Medicaid -- economics
Program Evaluation
Contract Services
Managed Care Programs
State Government
Humans
United States
United States. Department of Health and Human Services.
Centers for Medicare & Medicaid Services (U.S.)

27. Medical homes and accountable care organizations: If we build it, will they come?

Publication:: [Washington, D.C.] : AcademyHealth, [2009]
Subject(s):: Health Care Reform
Patient Care Management -- organization & administration
Primary Health Care -- organization & administration
Quality Assurance, Health Care
Managed Care Programs
Models, Organizational
Program Development
Humans
United States

28. Can Medicaid do more with less?

Publication:: [New York, N.Y.] : Commonwealth Fund, [2006]
Subject(s):: Medicaid -- economics
Cost Control
Health Policy
Managed Care Programs
Medicaid -- statistics & numerical data
United States

29. Putting Medicaid in the larger budget context: an in-depth look at three states in FY 2017 and FY 2018

Author(s):: Gifford, Kathleen, author
Ellis, Eileen, author
Lashbrook, Aimee, author
Valentine, Allison, author
Hinton, Elizabeth, author
Antonisse, Larisa, author
Publication:: Menlo Park, CA : Henry J. Kaiser Family Foundation, October 2017
Subject(s):: Budgets
Medicaid -- economics
Medicaid -- organization & administration
Eligibility Determination
Health Care Reform -- economics
Insurance, Health, Reimbursement -- economics
Managed Care Programs
Opioid-Related Disorders
Patient-Centered Care
State Government
Humans
Nevada
North Carolina
West Virginia
United States
United States.

30. High performance health care for vulnerable populations: a policy framework for promoting accountable care in Medicaid

Publication:: [New York, N.Y.] : Commonwealth Fund, [2012]
Subject(s):: Accountable Care Organizations -- organization & administration
Health Care Reform
Insurance, Health -- organization & administration
Medicaid -- organization & administration
State Health Plans -- organization & administration
Vulnerable Populations
Benchmarking
Cost Savings
Dual MEDICAID MEDICARE Eligibility
Health Insurance Exchanges
Insurance, Health, Reimbursement
Managed Care Programs
Medicare
State Government
Humans
United States
United States.

31. Implementing New York's DSRIP program: implications for Medicaid payment and delivery system reform

Author(s):: Bachrach, Deborah, author
Bernstein, William, author
Augenstein, Jared, author
Lipson, Mindy, author
Ellis, Reni, author
Publication:: [New York, New York] : Commonwealth Fund, April 2016
Subject(s):: Delivery of Health Care -- methods
Health Care Reform -- economics
Medicaid -- economics
Reimbursement, Incentive
Information Dissemination
Managed Care Programs
Preferred Provider Organizations
Socioeconomic Factors
Humans
New York
United States
Centers for Medicare & Medicaid Services (U.S.)

32. Medicare Advantage payment policy

Publication:: Washington, D.C. : George Washington University, [2007]
Subject(s):: Medicare -- economics
Prospective Payment System
Benchmarking
Fee-for-Service Plans
Managed Care Programs
Medical Savings Accounts
Humans
United States

33. State marketplace stabilization strategies

Publication:: [Washington, D.C.] : American Hospital Association, January 2018
Subject(s):: Health Insurance Exchanges
Insurance Coverage
Insurance, Health
Cost Sharing
Federal Government
Insurance Selection Bias
Managed Care Programs
Medicaid
State Government
Humans
United States
United States.

34. California health care market report, 2004

Author(s):: Baumgarten, Allan.
Publication:: Oakland, Calif. : California HealthCare Foundation, c2004
Subject(s):: Health Care Sector -- statistics & numerical data
Managed Care Programs
California

35. California's safety net: the role of counties in overseeing care

Author(s):: Felland, Laurie E., author
Katz, Aaron B., author
Lauer, Johanna R., author
Publication:: [Oakland, Calif.] : California HealthCare Foundation, [2009]
Subject(s):: Community Health Centers
Community Health Services
Delivery of Health Care
Regional Health Planning
Ambulatory Care
Hospitals
Local Government
Managed Care Programs
Medicaid
Medical Indigency
Politics
Poverty
Reimbursement, Disproportionate Share
Rural Population
Uncompensated Care
Urban Population
Humans
California
United States

36. Medicaid: states fund services for adults in institutions for mental disease using a variety of strategies : report to the Co-Chair, Caucus on International Narcotics Control, U.S. Senate

Publication:: Washington, D.C. : U.S. Government Accountability Office, August 2017
Subject(s):: Insurance Coverage -- economics
Mental Disorders -- therapy
Mental Health Services -- economics
Residential Treatment -- economics
Residential Treatment -- statistics & numerical data
Substance-Related Disorders -- therapy
Adult
Health Services Accessibility
Managed Care Programs
Medicaid -- economics
Middle Aged
Humans
United States
Centers for Medicare & Medicaid Services (U.S.)

37. Medicaid managed care: CMS should improve oversight of access and quality in states' long-term services and supports programs : report to Congressional requesters

Publication:: Washington, D.C. : U.S. Government Accountability Office, August 2017
Subject(s):: Community Health Services
Home Care Services
Long-Term Care
Managed Care Programs
Medicaid
Federal Government
Government Regulation
Health Services Accessibility
Quality Assurance, Health Care
State Government
Humans
United States
Centers for Medicare & Medicaid Services (U.S.)

38. Implementing social determinants of health: interventions in Medicaid managed care : how to leverage existing authorities and shift to value-based purchasing

Author(s):: McGinnis, Tricia, author
Crumley, Diana, author
Chang, Debbie I., author
Publication:: [Washington, D.C.] : AcademyHealth, February 2018
Subject(s):: Community Health Services
Insurance, Health, Reimbursement
Managed Care Programs
Medicaid
Social Determinants of Health
Value-Based Purchasing
Asthma -- prevention & control
Capitation Fee
Cost Savings
Reimbursement Mechanisms
State Government
Humans
Oregon
United States

39. Integrating community health workers into state and local chronic disease prevention efforts: program and financing considerations

Author(s):: Spencer, Anna, author
Publication:: [Washington, D.C.] : AcademyHealth, February 2018
Subject(s):: Chronic Disease -- prevention & control
Community Health Services
Community Health Workers
Medicaid
Preventive Health Services
Social Determinants of Health
Community Health Workers -- education
Managed Care Programs
Patient Navigation
Social Work
Humans
Minnesota
New Mexico
Texas
United States
Washington

40. Medicaid and Head Start: opportunities to collaborate and pay for upstream prevention

Author(s):: Steinberg, Alycia, author
Chang, Debbie I., author
Publication:: [Washington, D.C.] : AcademyHealth, March 2018
Subject(s):: Early Intervention (Education)
Community Health Services
Medicaid
Preventive Health Services
Social Determinants of Health
Child
Managed Care Programs
Social Work
Humans
Maryland
United States

41. Moving Medicaid prevention services upstream: an exploration of how to embed Medicaid dietitian services in head start settings

Author(s):: Steinberg, Alycia, author
Publication:: [Washington, D.C.] : AcademyHealth, March 2018
Subject(s):: Child Health Services
Early Intervention (Education)
Medicaid
Nutritionists
Preventive Health Services
Child Nutritional Physiological Phenomena
Child, Preschool
Chronic Disease -- prevention & control
Community Health Services
Counseling
Insurance, Health, Reimbursement
Managed Care Programs
Pediatric Obesity -- prevention & control
State Government
Humans
Maryland
United States

42. Spurring innovation: the role of child health policy

Publication:: [Washington, D.C.] : AcademyHealth, [2018?]
Subject(s):: Child Health Services
Diffusion of Innovation
Health Policy
Child
Federal Government
Infant
Insurance, Health, Reimbursement
Managed Care Programs
Medicaid
Neonatal Abstinence Syndrome
Pediatrics
Reimbursement Mechanisms
Research
State Government
Telemedicine
Value-Based Purchasing
Wearable Electronic Devices
Humans
United States
State Children's Health Insurance Program (U.S.)

43. Taking it to the next level: using innovative strategies to expand options for self-direction

Author(s):: Edwards-Orr, Merle, author
Ujvari, Kathleen, author
Publication:: Washington, D.C. : AARP Public Policy Institute, April 2018
Subject(s):: Community Health Services
Home Care Services
Long-Term Care
Patient Participation
Consumer Behavior
Disabled Persons
Managed Care Programs
Patient Satisfaction
Patient-Centered Care
State Government
Veterans
Humans
Florida
Iowa
Texas
Wisconsin
United States

44. Financing community health workers in transitions clinics

Author(s):: Hogan, Laura, author
Macdonald Mendez, Tracy, author
Publication:: [Oakland, Calif.] : California Health Care Foundation, November 2018
Subject(s):: Ambulatory Care Facilities -- economics
Community Health Services -- economics
Community Health Workers -- economics
Primary Health Care -- economics
Prisoners
Transitional Care -- economics
Case Management
Health Services Needs and Demand
Managed Care Programs
Mental Health Services
Opiate Substitution Treatment
Patient-Centered Care
Vulnerable Populations
Humans
California
United States

45. How California Children’s Services Programs in the 21 Whole-Child Model counties engage with families

Author(s):: Henry, Holly, author
Gray, Allison, author
Schor, Edward, author
Publication:: Palo Alto, CA : Lucile Packard Foundation for Children's Health, March 2018
Subject(s):: Child Health Services
Family
Managed Care Programs
Medicaid
Parents
Patient Participation
Social Support
State Government
Humans
California
United States

46. Threading the labyrinth: why children in California with special health care needs endure delays in securing the medical equipment and supplies they need

Author(s):: O'Sullivan, Maryann, author
Tompkins, Francis, author
Publication:: Palo Alto, CA : Lucile Packard Foundation for Children's Health, May 2018
Subject(s):: Child Health Services
Disabled Children
Durable Medical Equipment
Health Services Accessibility
Health Services Needs and Demand
Child
Health Care Surveys
Insurance, Health, Reimbursement
Managed Care Programs
Medicaid
Parents
State Government
Humans
California
United States

47. Medicaid: CMS should take additional steps to improve assessments of individuals' needs for home- and community-based services : report to Congressional requesters

Publication:: Washington, DC : United States Government Accountability Office, December 2017
Subject(s):: Community Health Services
Eligibility Determination -- methods
Health Services Needs and Demand
Home Care Services
Medicaid
Needs Assessment
Conflict of Interest
Managed Care Programs
State Government
Humans
United States
Centers for Medicare & Medicaid Services (U.S.)

48. On the verge: the transformation of long-term services and supports

Publication:: Washington, D.C. : AARP Public Policy Institute, c2012
Subject(s):: Long-Term Care -- organization & administration
Social Support
Accountable Care Organizations
Budgets
Community Health Services
Economic Recession
Financing, Government
Health Care Surveys
Health Services Needs and Demand -- statistics & numerical data
Managed Care Programs
Medicaid
Medicare
Patient-Centered Care
State Government
Humans
United States
United States.

49. Why health plans should go to the "MAT" in the fight against opioid addiction

Author(s):: Elitzer, Julia, author
Tatar, Margaret, author
Publication:: [Oakland, Calif.] : California Health Care Foundation, September 2017
Subject(s):: Opiate Substitution Treatment
Opioid-Related Disorders -- drug therapy
Opioid-Related Disorders -- prevention & control
Buprenorphine -- therapeutic use
Comparative Effectiveness Research
Cost Savings
Drug Overdose -- drug therapy
Drug Overdose -- prevention & control
Health Care Costs
Health Services Accessibility
Healthcare Disparities
Inappropriate Prescribing -- prevention & control
Insurance Coverage -- legislation & jurisprudence
Managed Care Programs
Medicaid
Mental Health Services -- legislation & jurisprudence
Methadone -- therapeutic use
Naloxone
Naltrexone -- therapeutic use
Neonatal Abstinence Syndrome -- drug therapy
Opioid-Related Disorders -- epidemiology
Patient Care Management
Prescription Drug Diversion
State Government
Humans
California
United States

50. Comparing outcomes for dual eligible beneficiaries in integrated care: final report

Author(s):: Feng, Zhanlian, author
Wang, Joyce, (Of RTI International), author
Gadaska, Angela, author
Knowles, Molly, author
Haber, Susan G., author
Ingber, Melvin, author
Grouverman, Valentina, author
Publication:: [Washington, D.C.] : U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation, Office of Behavioral Health, Disability, and Aging Policy, September 2021
Subject(s):: Delivery of Health Care, Integrated
Dual MEDICAID MEDICARE Eligibility
Managed Care Programs
Medicare Part C
Outcome Assessment, Health Care
United States

51. How the pandemic continues to shape Medicaid priorities: results from an annual Medicaid budget survey for state fiscal years 2022 and 2023

Author(s):: Hinton, Elizabeth, (Of Kaiser Family Foundation), author
Guth, Madeline, author
Raphael, Jada, author
Haldar, Sweta, author
Rudowitz, Robin, author
Gifford, Kathleen, author
Lashbrook, Aimee, author
Nardone, Mike, author
Wimmer, Matt., author
Publication:: San Francisco, CA : Kaiser Family Foundation ; Washington, DC National Association of Medical Directors, October 2022
Subject(s):: Budgets
COVID-19 -- economics
Medicaid -- organization & administration
Health Equity
Insurance Benefits
Managed Care Programs
State Government
Taxes
Telemedicine
United States

52. Housing-related community supports: a handbook for managed care plans

Author(s):: Costello, Ian, (Of Corporation for Supportive Housing), author
Gilliam, Jaline, author
Maguire, Marcella, author
Winter, Cheryl, author
Publication:: [Oakland, CA] : California Health Care Foundation, January 2023
Subject(s):: Ill-Housed Persons
Managed Care Programs
Patient Care Management
Social Determinants of Health
California

53. Services to support independent living in the community

Author(s):: Ramirez, David, (Of AltaMed Health Network), author
Shah, Tanya, author
Publication:: [Oakland, CA] : California Health Care Foundation, April 2023
Subject(s):: Community Health Services
Independent Living
Long-Term Care
Managed Care Programs
California

54. Second interim evaluation of California’s Health Homes Program (HHP)

Author(s):: Pourat, Nadereh, 1959- author
Chen, Xiao, author
O'Masta, Brenna, author
Warrick, Anna, author
Haley, Leigh Ann, author
Zhou, Weihao, author
Publication:: Los Angeles, CA : UCLA Center for Health Policy Research, March 2022
Subject(s):: Comprehensive Health Care
Managed Care Programs
Medicaid
Multiple Chronic Conditions -- therapy
Program Evaluation
California

55. A guide for health care advocates: Medicaid managed care procurement

Author(s):: Schneider, Andy, author
Corcoran, Allie, author
Klukoff, Hannah, author
Publication:: [Washington, DC] : Georgetown University Health Policy Institute, Center for Children and Families, July 2022
Subject(s):: Managed Care Programs
Medicaid -- organization & administration
Patient Advocacy
Child
Family
United States

56. The role of community-based organization networks in CalAIM: seven key considerations

Author(s):: Spencer, Anna, author
Clemente, Isabel, (Of Center for Health Care Strategies), author
Publication:: [Oakland, California] : California Health Care Foundation, August 2022
Subject(s):: Community Networks
Community Support
Intersectoral Collaboration
Managed Care Programs
Medicaid
California

57. CalAIM and institutional long-term care: lessons for Medi-Cal managed care

Author(s):: Graham, Carrie, author
Glassberg, Hope, author
Chapman, Athena, author
Evenson, Elizabeth, (Of Chapman Consulting), author
Pellón, Samantha, author
Publication:: [Oakland, CA] : California Health Care Foundation, March 2022
Subject(s):: Institutionalization
Long-Term Care
Managed Care Programs
Medicaid
California

58. Medicaid long-term services and supports: access and quality problems in managed care demand improved oversight : report to the chairman, Committee on Energy and Commerce, House of Representatives

Publication:: Washington, DC : United States Government Accountability Office, November 2020
Subject(s):: Government Regulation
Managed Care Programs
Medicaid -- organization & administration
Government Agencies -- standards
United States
Centers for Medicare & Medicaid Services (U.S.)

59. Medicare and Medicaid: alignment of managed care plans for dual-eligible beneficiaries : report to Congressional committees

Publication:: Washington, DC : United States Government Accountability Office, March 2020
Subject(s):: Dual MEDICAID MEDICARE Eligibility
Government Regulation
Managed Care Programs
United States
Centers for Medicare & Medicaid Services (U.S.)

60. Defense health care: DOD surveys indicate beneficiary experience generally unchanged in first year of TRICARE select : report to Congressional committees

Publication:: Washington, DC : United States Government Accountability Office, February 2020
Subject(s):: Health Benefit Plans, Employee
Health Services Accessibility
Military Personnel
Managed Care Programs
Patient Satisfaction
United States
United States. Department of Defense

61. Twenty-three states reported allowing unenrolled providers to serve Medicaid beneficiaries

Publication:: [Washington, D.C.] : U.S. Department of Health and Human Services, Office of Inspector General, March 2020
Subject(s):: Contract Services -- legislation & jurisprudence
Government Regulation
Managed Care Programs
Medicaid -- legislation & jurisprudence
United States
United States. Department of Health and Human Services

62. Transparency in Medicaid Managed Care: findings from a 13- state scan

Author(s):: Corcoran, Allie, author
Hurler, Emma, author
Schneider, Andy, author
Buschmann, Julia, author
Publication:: Washington, DC : Georgetown University Health Policy Institute, Center for Children and Families, September 2021
Subject(s):: Child Health
Managed Care Programs
Maternal Health
Medicaid
United States
State Children's Health Insurance Program (U.S.)

63. A guide for child health advocates: Medicaid managed care accountability through transparency

Author(s):: Schneider, Andy, author
Corcoran, Allie, author
Hurler, Emma, author
Buschmann, Julia, author
Publication:: Washington, DC : Georgetown University Health Policy Institute, Center for Children and Families, July 2021
Subject(s):: Child Health
Managed Care Programs
Medicaid
Pregnant Women
United States
State Children's Health Insurance Program (U.S.)

64. Federal Medicaid policy

Author(s):: Raduege, Tammy J., author
Publication:: [Toronto, Ontario] : Thomson Reuters, 20-December-2021
Subject(s):: Federal Government
Medicaid -- legislation & jurisprudence
Medicaid -- organization & administration
Child Health
Managed Care Programs
Maternal Health
Mental Health
Oral Health
Social Determinants of Health
United States
United States.

65. Medicaid restructuring

Author(s):: Raduege, Tammy J., author
Publication:: [Toronto, Ontario] : Thomson Reuters, 20-December-2021
Subject(s):: Medicaid -- organization & administration
Community Health Services
Eligibility Determination
Home Care Services
Federal Government
Managed Care Programs
Maternal Health
Mental Health
Social Support
State Government
United States
United States.

66. Strategies to encourage home- and community-based care through value-based contracting in managed care

Author(s):: Evans, Allyson, author
King, Valerie, author
Publication:: New York, NY : Milbank Memorial Fund, [2021]
Subject(s):: Community Health Services
Home Care Services
Managed Care Programs
Medicaid
Value-Based Purchasing
United States

67. Strategies to help state Medicaid agencies maximize their impact and advance population health

Author(s):: Tigue, Patrick M., author
Publication:: [New York, New York] : Milbank Memorial Fund, December 2020
Subject(s):: Medicaid
Population Health
Interinstitutional Relations
Managed Care Programs
Social Determinants of Health
United States
Centers for Medicare & Medicaid Services (U.S.)

68. Meeting the moment: strengthening managed care's capacity to serve California's seniors and persons with disabilities

Author(s):: Torralba, Giselle, author
Kruse, Alexandra, author
Chapman, Athena, author
Evenson, Elizabeth, author
Publication:: [Oakland, California] : California Health Care Foundation, April 2021
Subject(s):: Delivery of Health Care, Integrated
Health Services for the Aged
Disabled Persons
Managed Care Programs
Medicaid
Long-Term Care
Social Work
Dual MEDICAID MEDICARE Eligibility
California
United States

69. CalAIM explained: overview of new programs and key changes

Publication:: [Oakland, California] : California Health Care Foundation, October 2021
Subject(s):: Delivery of Health Care, Integrated
Managed Care Programs
Medicaid -- organization & administration
Social Support
Social Work
California
United States

70. Paying Medi-Cal Managed Care plans for value: design recommendations for a quality incentive program

Author(s):: Zayhowski, Justine, author
Sayles, Jennifer N., author
Bailit, Michael, author
Publication:: [Oakland, CA] : California Health Care Foundation, January 2021
Subject(s):: Managed Care Programs
Medicaid -- organization & administration
Quality Assurance, Health Care
California
United States

71. Meeting the moment: strengthening managed care’s capacity to serve California’s seniors and persons with disabilities

Publication:: [Oakland, CA] : California Health Care Foundation, April 2021
Subject(s):: Health Services for the Aged
Health Services for Persons with Disabilities
Managed Care Programs
California
United States

72. Organizations react to Medi-Cal managed care procurement request for proposals

Author(s):: Dyer, Mary Beth, author
Waldman, Beth, author
Publication:: [Oakland, CA] : California Health Care Foundation, September 2021
Subject(s):: Competitive Bidding
Managed Care Programs
Medicare
California
United States

73. Building community-oriented Medicaid managed care: charting a path toward reform

Author(s):: Rosenbaum, Sara, author
Murphy, Caitlin, author
Handley, Morgan, author
Morris, Rebecca, author
Shin, Peter, author
Publication:: [Washington, D.C.] : Milken Institute School of Public Health, George Washington University, May 2021
Subject(s):: Community Health Services
Managed Care Programs
Medicaid
Health Care Reform
United States

74. Heterogeneity in the impact of privatizing social health insurance: evidence from California's Medicaid program

Author(s):: Duggan, Mark, author
Garthwaite, Craig, author
Wang, Adelina Yanyue, author
Publication:: [Stanford, CA] : Stanford Institute for Economic Policy Research (SIEPR), June 2021
Subject(s):: Managed Care Programs
Medicaid
Outcome Assessment, Health Care
Privatization
Aged
Disabled Persons
California
United States

75. Renewals in Medicaid and CHIP: implementation of streamlined ACA policies and the potential role of managed care plans

Author(s):: Ryan, Jennifer, author
Artiga, Samantha, author
Publication:: Menlo Park, CA : Henry J. Kaiser Family Foundation, June 2015
Subject(s):: Insurance Coverage
Managed Care Programs
Medicaid
United States
United States.
State Children's Health Insurance Program (U.S.)

76. Using external quality review organizations to improve the quality of preventive and developmental services for children

Author(s):: Ireys, Henry T., author
Krissik, Tata, author
Verdier, James M., author
Faux, Melissa, author
Publication:: [New York, N.Y.] : Commonwealth Fund, May 2005
Subject(s):: Child Health Services
Managed Care Programs
Medicaid
Professional Review Organizations
Quality Assurance, Health Care
United States

77. The state of telehealth in Medi-Cal managed care: taking stock in the era of COVID-19

Publication:: [Oakland, California] : California Health Care Foundation, April 2020
Subject(s):: Managed Care Programs
Medicaid
Telemedicine
California
United States

78. Medicaid managed care COVID-19 advocacy action guide: for pediatricians, other primary care practitioners, and child health advocates

Publication:: Washington, DC : Georgetown University Health Policy Institute, Center for Children and Families ; [Itasca, Illinois] : American Academy of Pediatrics, December 2020
Subject(s):: COVID-19
Health Services Accessibility
Managed Care Programs
Medicaid
Child Advocacy
United States
State Children's Health Insurance Program (U.S.)

79. Monitoring and assessing the use of external quality review organizations to improve services for young children: a toolkit for state Medicaid agencies

Author(s):: Krissik, Tara, author
Ireys, Henry T., author
Markus, Anne, author
Rosenbaum, Sara, author
Publication:: [New York, N.Y.] : Commonwealth Fund, July 2008
Subject(s):: Child Health Services
Managed Care Programs
Medicaid
Preventive Health Services
Professional Review Organizations -- statistics & numerical data
Quality Assurance, Health Care
Child
Child Development
Child, Preschool
Contract Services
Guideline Adherence
State Government
Humans
United States

80. Quality of health care for Medicare beneficiaries: a chartbook : focusing on the elderly living in the community

Author(s):: Leatherman, Sheila T., author
McCarthy, Douglas, author
Publication:: New York, NY : Commonwealth Fund, May 2005
Subject(s):: Community Health Services -- statistics & numerical data
Aged
Medicare -- statistics & numerical data
Quality of Health Care -- statistics & numerical data
Ambulatory Care
Managed Care Programs
Outcome Assessment, Health Care
Preventive Health Services -- statistics & numerical data
Quality Indicators, Health Care -- statistics & numerical data
United States

81. Recent growth in health expenditures

Author(s):: Zuckerman, Stephen, author
McFeeters, Joshua, author
Publication:: [New York, N.Y.] : Commonwealth Fund, March 2006
Subject(s):: Health Care Costs -- trends
Health Expenditures -- trends
Cost Control
Forecasting
Health Expenditures -- statistics & numerical data
Managed Care Programs
United States

82. The role of Medicaid managed care in health delivery system innovation

Author(s):: Summer, Laura, author
Hoadley, Jack, author
Publication:: New York, NY : Commonwealth Fund, April 2014
Subject(s):: Delivery of Health Care, Integrated -- organization & administration
Managed Care Programs
Medicaid
Organizational Innovation
Role
Communication
Emergency Medical Services -- statistics & numerical data
Health Services Misuse -- prevention & control
Interprofessional Relations
Mental Health Services -- organization & administration
Patient Care Management -- organization & administration
Patient-Centered Care -- organization & administration
Quality Assurance, Health Care
Humans
United States
United States.

83. Cost savings

Author(s):: Steiner, David J., author
Publication:: [Toronto, Ontario] : Thomson Reuters, 23-December-2019
Subject(s):: Cost Control -- legislation & jurisprudence
Cost Savings
Drug Costs -- legislation & jurisprudence
Economics, Pharmaceutical
Legislation, Drug
Access to Information
Biosimilar Pharmaceuticals
Commerce
Conflict of Interest
Drug Industry
Insurance, Pharmaceutical Services
Managed Care Programs
Medicaid -- economics
Medicare Part D -- economics
Patents as Topic
State Government
Humans
United States

84. Medicaid managed care: additional CMS actions needed to help ensure data reliability : report to Congressional requesters

Publication:: Washington, DC : United States Government Accountability Office, October 2018
Subject(s):: Data Collection
Managed Care Programs
Medicaid
Rate Setting and Review
United States
Centers for Medicare & Medicaid Services (U.S.)

85. Provider shortages and limited availability of behavioral health services in New Mexico’s Medicaid managed care

Publication:: [Washington, D.C.] : U.S. Department of Health and Human Services, Office of Inspector General, September 2019
Subject(s):: Behavioral Medicine -- statistics & numerical data
Health Workforce -- statistics & numerical data
Managed Care Programs
Medicaid
Health Services Accessibility
Personnel Turnover
Rural Health Services
State Government
Humans
New Mexico
United States

86. Medi-Cal and behavioral health services

Author(s):: Tatar, Margaret, author
Chambers, Richard, author
Publication:: [Oakland, California] : California Health Care Foundation, February 2019
Subject(s):: Medicaid
Mental Health Services
Ambulatory Care
Community Mental Health Services
Dual MEDICAID MEDICARE Eligibility
Fee-for-Service Plans
Insurance Benefits
Managed Care Programs
Mental Disorders -- therapy
Substance-Related Disorders -- therapy
State Government
Humans
California
United States

87. Medi-Cal payment to managed care plans: current process and challenges

Author(s):: Engelhard, Michael, author
Soto, Steve, author
Chapman, Athena, author
Publication:: [Oakland, California] : California Health Care Foundation, February 2019
Subject(s):: Insurance, Health, Reimbursement
Managed Care Programs
Medicaid
Capitation Fee
State Government
Humans
California
United States

88. The Medi-Cal budget process

Author(s):: Tatar, Margaret, author
Chapman, Athena, author
Publication:: [Oakland, California] : California Health Care Foundation, February 2019
Subject(s):: Budgets
Medicaid -- economics
Federal Government
Managed Care Programs
State Government
Taxes
Humans
California
United States
United States.

89. Accountability in the Medi-Cal managed care program

Publication:: [Oakland, California] : California Health Care Foundation, April 2019
Subject(s):: Managed Care Programs
Medicaid
Quality of Health Care
Access to Information
Quality Indicators, Health Care
State Government
Humans
California
United States

90. Quantifying integrated physical and behavioral health care in Medi-Cal: a resource to measure care across systems for adult Medi-Cal enrollees

Author(s):: Connolly, Katrina, author
Finocchio, Len, author
Newman, Matthew, author
Publication:: [Oakland, California] : California Health Care Foundation, July 2019
Subject(s):: Delivery of Health Care, Integrated
Medicaid
Mental Disorders -- therapy
Mental Health Services
Substance-Related Disorders -- therapy
Aged
Behavioral Medicine
Information Dissemination
Managed Care Programs
Primary Health Care
Quality Indicators, Health Care
Humans
California
United States

91. A close look at Medi-Cal managed care: stories of quality improvement success

Author(s):: Chapman, Athena, author
Evenson, Elizabeth, author
Davis, Caroline, author
Publication:: [Oakland, California] : California Health Care Foundation, September 2019
Subject(s):: Managed Care Programs
Medicaid
Quality of Health Care
Leadership
Quality Indicators, Health Care
Reimbursement, Incentive
State Government
Humans
California
United States

92. Behavioral health integration in Medi-Cal: a blueprint for California

Author(s):: Kelly, Logan, author
Hamblin, Allison, author
Kaplan, Stephen, author
Publication:: [Oakland, California] : California Health Care Foundation, February 2019
Subject(s):: Delivery of Health Care, Integrated -- organization & administration
Medicaid
Mental Disorders -- therapy
Mental Health Services
Substance-Related Disorders -- therapy
Behavioral Medicine
Financing, Government
Health Workforce
Managed Care Programs
Medicare
State Government
Humans
California
United States

93. Making quality matter in Medi-Cal managed care: how other states hold health plans financially accountable for performance

Publication:: [Oakland, California] : California Health Care Foundation, February 2019
Subject(s):: Medicaid
Quality of Health Care
Capitation Fee
Cost Savings
Managed Care Programs
Quality Indicators, Health Care
Reimbursement, Incentive
State Government
Humans
California
United States

94. Raising the bar: how California can use purchasing power and oversight to improve quality in Medi-Cal managed care

Publication:: [Oakland, California] : California Health Care Foundation, April 2019
Subject(s):: Medicaid -- organization & administration
Managed Care Programs
Quality of Health Care
Value-Based Purchasing
Accreditation
Government Regulation
Health Services Accessibility
Medicaid -- economics
Quality Indicators, Health Care
State Government
Humans
California
United States

95. Paying Medi-Cal managed care plans for value: quality goals for a financial incentive program

Publication:: [Oakland, California] : California Health Care Foundation, April 2019
Subject(s):: Managed Care Programs
Medicaid
Quality of Health Care
Value-Based Purchasing
Health Workforce
Quality Indicators, Health Care
Reimbursement, Incentive
Humans
California
United States

96. Catalyzing Medicaid policy research with T-MSIS Analytic Files (TAF): learnings from year 1 of the Medicaid Data Learning Network (MDLN)

Author(s):: Gordon, Sarah, (Of Boston University), author
Johnson, Annaliese, author
Kennedy, Susan, (Of AcademyHealth), author
McConnel, John, (Of Oregon Health & Science University), author
Schpero, William, author
Publication:: Washington, DC : AcademyHealth, May 15, 2023
Subject(s):: Datasets as Topic
Health Policy
Health Services Research
Medicaid -- statistics & numerical data
Ethnicity
Fee-for-Service Plans
Health Expenditures
Information Storage and Retrieval
Managed Care Programs
Maternal Health
Opioid-Related Disorders -- drug therapy
Racial Groups
Reproductive Health
Utilization Review
United States

97. An introduction to managed care in CHIP

Author(s):: Schneider, Andy, author
Klukoff, Hannah, author
Lehan, Maclaine, author
Publication:: [Washington, DC] : Georgetown University Health Policy Institute, Center for Children and Families, March 2023
Subject(s):: Managed Care Programs
Medicaid
State Health Plans
United States
Children's Health Insurance Program (U.S.)