Delivery System Reform

This is the third and final in a series of papers on dual eligibility supported by The Pew Charitable Trusts, with additional support from The Henry ]. Kaiser Family Foundation, Center for Vulnerable Populations. The first paper, Managiiig Care for Older Beneficiaries of Medicaid and Medicare: Prospects and Pitfalls (September, 1994), describes the fragmentation of […]

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  • Publications

    Increasingly, states are turning to managed care to deliver health services to Medicaid recipients. In a 1994 survey of states conducted by the National Academy for State Health Policy, 16 states reported that they enroll elders in Medicaid managed care programs. A few states (Arizona, Minnesota, Oregon, Tennessee, Utah) require mandatory enrollment and others allow […]

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  • Publications

    Increasingly, states are turning to managed care to deliver health services to Medicaid recipients. In a 1994 survey of states conducted by the National Academy for State Health Policy, 16 states reported that they enroll elders in Medicaid managed care programs. A few states (Arizona, Minnesota, Oregon, Tennessee, Utah) require mandatory enrollment and others allow […]

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    May 16, 2012 | Filed under: Delivery System Reform, Medicaid, Publications
  • Publications

    The purpose of this document is to summarize the current state-of-the-art in managed care for the elderly and to provide states with background information needed to launch their own initiatives to provide quality, cost effective care to the rapidly aging population. As you will see, attempts to truly coordinate primary, preventive, acute, and long term […]

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  • Publications

    Major Issues and Selected Initiatives Interest in managed care for older persons and persons with disabilities has intensified in recent years, as states and the federal government have searched for ways to make publicly funded programs more effective and less costly. The heightened interest has stimulated a lively debate among consumers, policy makers, advocates and […]

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  • Publications

    Medicaid today pays for 41% of the nation’s long term care bill. Most of that spending (85%) is on institutions. As the Congress grapples with efforts to reduce Federal expenditures and balance the budget, the Medicaid program and its investment in long term care are particularly vulnerable to cuts. Indeed, Medicaid comprises nearly half of […]

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  • Publications

    This report highlights What states have been doing to reduce their expenditures on long term care while maintaining access to needed services. In our analysis of the major strategies employed by the states we found that they fell into several categories: (1) Delivery system activities include strategies to reduce or control the number of nursing […]

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  • Webinars

    For a copy of the full slide presentation, click here. This webinar summarizes the deliberations and results of NASHP’s National Workgroup on Integrating a Safety Net into Health Care Reform Implementation. Over the course of nearly a year, this group of state and federal officials, national experts and associations, and safety net systems worked to […]

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    May 9, 2012 | Filed under: Delivery System Reform, Medicaid, Webinars
  • Publications

    The purpose of this document is to summarize the current state-of-the-art in managed care for the elderly and to provide states with background information needed to launch their own initiatives to provide quality, cost effective care to the rapidly aging population. As you will see, attempts to truly coordinate primary, preventive, acute, and long term […]

    Read More
  • Publications

    A group of state and delivery system leaders convened for a day long symposium during NASHP’s 2011 Annual State Health Policy Conference to consider the potential of integrated delivery systems and effective policy levers to foster their development. This report comes from the symposium titled Fostering State Policy to Support Integrated Delivery Systems: Summary of […]

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    March 29, 2012 | Filed under: Delivery System Reform, Publications