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12/4/2014

Medicaid Managed Care Market Tracker

Website  from http://kff.org

Medicaid Managed Care Market Tracker provides state-level, MCO-level, and parent firm-level information related directly, or by extension, to comprehensive risk-based MCOs in Medicaid. It also provides data on parent firm participation in other insurance markets, which shed light on braoder market dynamics.

 
 

12/2/2014

Key Findings on Medicaid Managed Care: Highlights from the Medicaid Managed Care Market Tracker

Website  from http://kff.org

The charts that follow highlight 10 key findings on the Medicaid MCO market based entirely on analysis of data included in the Tracker. The charts provide a partial profile of the market. They also serve to illustrate the kinds of topics and questions the Tracker can be used to explore.

 
 

12/1/2014

Contacting Hard to Locate Medicare and Medicaid Members

Health plans serving individuals eligible for both Medicare and Medicaid must be able to locate members before beginning to meet their often significant health care and social service needs. However, individuals with complex needs are often difficult to contact due to incorrect or missing information and unstable housing. This technical assistance brief provides tips on finding hard-to-locate members from seven organizations participating in PRIDE, a project to advance health plan strategies to provide high-quality, cost effective care for high-need populations eligible for Medicare and Medicaid.

 
 

11/25/2014

Ensuring Consumers' Access to Care

Network adequacy state insurance survey findings and recommendations for regulatory reforms in a changing insurance market

 
 

11/20/2014

The National Senior Citizens Law Center Guide to Notices

This Guide is designed for advocates and individuals who provide assistance to seniors and persons with disabilities in need of Medicaid long-term services and supports. The focus of the Guide is on notice and appeal rights in states delivering these services through managed care

 
 

11/17/2014

AUCD Legislative News In Brief

This issue covers appropriations, communication devices and education, health care open enrollment, child care, housing, and family caregivers.

 
 

11/14/2014

Issue Brief: Key Themes in Capitated Medicaid Managed Long-term Services and Supports Waivers

Website  from http://kff.org

This issue brief examines key themes in 19 capitated Medicaid MLTSS waivers approved to date by the Centers for Medicare and Medicaid Services (CMS), including 1115 demonstrations in 12 states (AZ, CA, DE, HI, KS, NJ, MN, NY, RI, TN, TX, VT) and 1915(b)/(c) waivers in six states (FL, IL, MI (2 waivers), MN, OH, WI). MLTSS programs provided under these authorities are the subject of CMSs 2013 best practices guidance to states.

 
 

11/13/2014

National Disability Navigator Year 2 Approach

The National Disability Navigator Resource Collaborative (NDNRC) was established to assist the development of cross-disability competence in the Affordable Care Act. In year 2 the NDNRC is funding eleven Community Outreach Collaborative. The COCs have two primary tasks: 1) build cross-disability collaborations with other disability organizations; and 2) have the cross-disability collaboration work as a dissemination and outreach resource with their local and/or state navigators and assisters.

pdf File NDNRC Flyer 11 14 Year 2.pdf [download]
 
 

11/11/2014

Requirements for Inclusion of Essential Community Providers

Website  from http://kff.org

The information includes information on state Health Insurance Marketplaces, Medicaid and health reform, Medicare and health reform, federal grants and loans, health insurance market reforms, and other relevant indicators.

 
 

11/11/2014

Requirements for Inclusion of Essential Community Providers

Website  from http://kff.org

The information includes information on state Health Insurance Marketplaces, Medicaid and health reform, Medicare and health reform, federal grants and loans, health insurance market reforms, and other relevant indicators.

 
 

11/10/2014

Health Policy Brief: The Family Glitch

Health Affairs policy brief on the "family glitch", an eligibility issue that could lock out some low-to-moderate-income families from, receiving financial assistance to purchase health coverage through the new health insurance Marketplaces.

 
 

11/7/2014

State Insurance Marketplace Types, 2015

Website  from http://kff.org

This data collection reflects Medicaid benefits covered in each state, limitations applied to those benefits, cost-sharing charges, and the reimbursement methodologies used for those benefits in effect at six specific points in time, the most recent being October 1, 2012.

 
 

11/6/2014

Explanation of the 2015 Open Enrollment Period

Website  from http://kff.org

This brief provides an overview of what consumers can expect during the second Open Enrollment period and the tax filing season that follows.

 
 

11/3/2014

Georgetown University Center Releases an Online Resource Navigator

on Private Health Insurance Coverage & the Health Insurance Marketplace

Georgetown released an online navigator which is a valuable resource that provides a comprehensive list of answers to common questions faced by navigators and all enrollment specialists.

 
 

11/3/2014

Georgetown University Center Releases an Online Resource Navigator

on Private Health Insurance Coverage & the Health Insurance Marketplace

Georgetown released an online navigator which is a valuable resource that provides a comprehensive list of answers to common questions faced by navigators and all enrollment specialists.

 
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