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

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