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MC Data

Medicaid Managed Care Data

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Kaiser Family Foundation. "Medicaid and Managed Care: Key Data, Trends, and Issues."February 2010Download
Medicaid-Focused Health Plans Continue Growing Amid Overall Decline in Medicaid Managed Care EnrollmentNovember 2008Download
2007 CMS Medicaid Managed Care Enrollment ReportJune 30, 2007Download
2008 CMS Medicaid Managed Care Enrollment ReportJune 2008Download

Every year CMS collects data on Medicaid managed care. The above file includes data from June 2007 on the number of plans, the number of beneficiaries and information on individual state's managed care programs.

As of June 30, 2007, over 11 million beneficiaries were enrolled in Medicaid-focused health plans (MFHPs) up from 9.8 million the year before.  While overall enrollment in Medicaid Managed Care has declined from 65% of all Medicaid enrollees in 2006 to 64% in 2007, MFHPs continued to grow and for the second year in a row now cover half of the total number of Medicaid health plan enrollees in fully-capitated managed care.  MFHPs serve managed care enrollees in Medicaid, SCHIP and other public insurance programs for low-income and vulnerable populations, but do not serve commercial health insurance enrollees.

Managed care – including both capitated risk arrangements and primary care case management (PCCM) – has become Medicaid’s dominant delivery system, covering 64% of all Medicaid enrollees, according to June 2007 data from the Center for Medicare and Medicaid Services (CMS), and serving over 29 million beneficiaries. In 2007, 19 million enrolled individuals were covered by fully-capitated arrangements and 5.8 million were enrolled in Primary Care Case Management. Enrollment in Primary Care Case Management decreased from 6.5 million in 2006 to 5.8 million in 2007, causing an overall decline in Medicaid Managed Care enrollment for the first time ever.

Every year CMS collects data on Medicaid managed care. The above file includes data from June 2007 on the number of plans, the number of beneficiaries and information on individual state's managed care programs.

As of June 30, 2007, over 11 million beneficiaries were enrolled in Medicaid-focused health plans (MFHPs) up from 9.8 million the year before.  While overall enrollment in Medicaid Managed Care has declined from 65% of all Medicaid enrollees in 2006 to 64% in 2007, MFHPs continued to grow and for the second year in a row now cover half of the total number of Medicaid health plan enrollees in fully-capitated managed care.  MFHPs serve managed care enrollees in Medicaid, SCHIP and other public insurance programs for low-income and vulnerable populations, but do not serve commercial health insurance enrollees.

Managed care – including both capitated risk arrangements and primary care case management (PCCM) – has become Medicaid’s dominant delivery system, covering 64% of all Medicaid enrollees, according to June 2007 data from the Center for Medicare and Medicaid Services (CMS), and serving over 29 million beneficiaries. In 2007, 19 million enrolled individuals were covered by fully-capitated arrangements and 5.8 million were enrolled in Primary Care Case Management. Enrollment in Primary Care Case Management decreased from 6.5 million in 2006 to 5.8 million in 2007, causing an overall decline in Medicaid Managed Care enrollment for the first time ever.

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President's Health Reform Proposal Includes Medicaid Expanion, DRE, SNHP Exemption from Insurer Fee

President Obama released a health care reform proposal Monday in preparation for the bipartisan White House Summit to be held on February 25. Although the proposal is not in legislation-ese and lacks considerable detail, ACAP is happy to report that the DRE is included, and that a Senate-like health insurer fee exempts nonprofit health plans that “serve critical purposes for the community,” such as serving public programs for low-income, elderly and disabled consumers. CHIP is preserved in the proposal, and Medicaid is expanded to 133 percent of the FPL. The proposal can be viewed here: http://www.whitehouse.gov/health-care-meeting/proposal.

Meanwhile, ACAP continues to lead the effort to expand Medicaid to all individuals below a certain threshold of the federal poverty level. An ad urging Congress to provide Medicaid to all individuals under 150 percent of the FPL was published in Roll Call Monday, February 8. Another ad, reflecting policy in the President’s proposal, will run on Thursday, February 25 to coincide with the bipartisan White House Summit on reform. The Summit can be viewed at 10 am on the 25th here: www.WhiteHouse.gov/live.

President's Health Reform Proposal Includes Medicaid Expanion, DRE, SNHP Exemption from Insurer Fee

President Obama released a health care reform proposal Monday in preparation for the bipartisan White House Summit to be held on February 25. Although the proposal is not in legislation-ese and lacks considerable detail, ACAP is happy to report that the DRE is included, and that a Senate-like health insurer fee exempts nonprofit health plans that “serve critical purposes for the community,” such as serving public programs for low-income, elderly and disabled consumers. CHIP is preserved in the proposal, and Medicaid is expanded to 133 percent of the FPL. The proposal can be viewed here: http://www.whitehouse.gov/health-care-meeting/proposal.

Meanwhile, ACAP continues to lead the effort to expand Medicaid to all individuals below a certain threshold of the federal poverty level. An ad urging Congress to provide Medicaid to all individuals under 150 percent of the FPL was published in Roll Call Monday, February 8. Another ad, reflecting policy in the President’s proposal, will run on Thursday, February 25 to coincide with the bipartisan White House Summit on reform. The Summit can be viewed at 10 am on the 25th here: www.WhiteHouse.gov/live.