1400 Eye Street, NW
Suite 330
Washington DC 20005
phone 202.331.4601 fax
202.296.3526
Darnell Dent, Chairman
Margaret A. Murray, Executive Director
|
|
|
| Contact Us | About ACAP | Members Only | Publications | Jobs | Links |
• ACAP Home Page • Information on Plans • Membership Information • ACAP Conference Presentations • Best Practices/Plan Operations • Policy and Legislative Positions • Research Agenda and Findings • ACAP Staff |
Lewin Group, Comparative Evaluation of Pennsylvania’s HealthChoices Program and Fee-for-Service Program
Suzanne Felt-Lisk, M.P.A., Allison Barrett, and Rebecca Nyman, M.P.H.,
Public Reporting of
Quality Information on Medicaid Health Plans, Spring 2007 Lewin Group, Assessment of HUSKY's, Connecticut's Medicaid Managed Care Program, January 17, 2007
Roohan, Patrick J. , MS, Jacqueline M. Butch, MBA, Joseph P. Anarella, MPH,
Foster Gesten, MD, Kathleen Shure, MPA, "Quality Measurement in Medicaid Managed
Care and Fee-for-Service: The New York State Experience." American Journal of
Medical Quality, Volume 21, No 3, 185-191
Association for Community Affiliated Plans, Safety Net Health Plans: Critical Partners in the Health Care Safety Net --April 2006
Lewin Group, Medicaid Capitation Expansion's Potential Cost Savings, -- April 18, 2006 Creating a Win-Win-Win With P4P, by Elaine Batchlor. January, 2006
:Lewin Group, Rate Setting and Actuarial Soundness in Medicaid Managed Care , January 23, 2006
Schneider, Eric C., MD, MSc, Alan M. Zaslavsky, PhD, Arnold M. Epstein, MD, MA, "Quality of care in for-profit and not-for-profit health plans enrolling Medicare beneficiaries." The American Journal of Medicine, Volume 118, Issue 12, pages 1392-1400 (December 2005).
National Academy of State Health Policy Medicaid Managed Care: Looking Forward, Looking Back. June 2005.
ACAP Best Practices in Specialty Provider Recruitment and Retention: A Report of Common Provider Network Challenges and the Actions Health Plans Have Taken to Address Them, by Karen Brodsky and funded by the Commonwealth Fund. A Table of Challenges and Actions is also available.
The Lewin Group, Assessment of Medicaid Managed Care Expansion Options in Illinois, May 2005
Michigan Medicaid: Relative Cost Effectiveness of Alternative Service Delivery Models, University of Maryland, Center for Health Program Development and Management, April 2005 Innovations in Medicaid Managed Care. “Health Plan Programs to Improve the Health and Well-Being of Medicaid Beneficiaries.” America’s Health Insurance Plans. March 2005. Stankaitis JA, Brill HR, and Walker DM. “Reduction in Neonatal Intensive Care Unit Admission Rates in a Medicaid Managed Care Program.” The American Journal of Managed Care. March 2005 Xiao X, Jensen GA. “Utilization of Health Care Services Among the Near-Elderly: A Comparison of Managed Care and Fee-for-Service Enrollees.” Managed Care Interface. March 2005 Jessica
Mittler and Marsha Gold. "Physician Participation in Medicaid Managed
Care: The California Experience." Managed Care Quarterly
2005; 13(2): 1-11. Chyongchiou Jeng Lin, Donald Musa; Myrna Silverman and Howard B. Degenholtz. "Do Managed Care Plans Reduce Racial Disparities in Preventive Care?" Journal of Health Care for the Poor and Underserved. February 2005.
Ann S. O'Malley, Christopher B. Forrrest, Robert M. Politzer, John T. Wulu and Leiyu Shi. "Health Center Trends, 1994-2001: What Do They Portend For The Federal Growth Initiative?" Health Affairs, Volume 24, Number 2, March/April 2005, 465-472.
Andrew B. Bindman, Arpita Chattopadhyay, Dennis H. Osmond, William Huen, and Peter Bacchetti. "The Impact of Medicaid Managed Care on Hospitalizations for Ambulatory Care Sensitive Conditions." Health Services Research, Volume 40 Issue 1 Page 19 - February 2005, doi:10.1111/j.1475-6773.2005.00340.x Summary available at: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed& dopt=Abstract&list_uids=15663700 Eric Schneider, Bruce Landon, Carol Tobias and Arnold M. Epstein. "Quality Oversight in Medicaid Primary Care Case Management Programs: As HMOs depart, are state Medicaid agencies ready to take the stage," Health Affairs December 2004, Volume 23, Number 6 United States Government Accountability Office. "Medicaid Managed Care: Access and Quality Requirements Specific to Low-Income and Other Special Needs Enrollees." Report to Senators Charles Grassley and Max Baucus and Congressmen Joe Barton and John Dingell, December 2004. The Lewin Group. Business Opportunities in the Medicare Modernization Act for Medicaid Focused Plans, November 2004 Womeodu RJ, Graney MJ, Gibson DV, Bailey JE. “Diabetic Patient Experiences in a Medicaid Managed Care System.” Tennessee Medicine. 96(10): 465-9, 2004 Oct. The Lewin Group, Opportunities and Observations for Indiana Medicaid, June 2004 The National Association for State Health Policy. State Budget Cuts and Medicaid Managed Care: Case Studies in Four States, June 2004 The Lewin Group. "Medicaid Managed Care Cost Savings – A Synthesis of Fourteen Studies." Final Report Prepared for: America’s Health Insurance Plans, July 2004 Jean M. Mitchell, PhD, and Darrell J. Gaskin, PhD. "Do Children Receiving Supplemental Security Income Who Are Enrolled in Medicaid Fare Better Under a Fee-for-Service or Comprehensive Capitation Model?," Pediatrics 2004; 114: 196-204, July, 2004. Bruce E. Landon, Eric C. Schneider, Carol Tobias, and
Arnold M. Epstein Verdier JM, Hurley RE. “State Medicaid Managed Care Evaluations and Reports, Themes, Variations and Lessons.” Resource Paper. Center for Health Care Strategies. May 2004 McCue, Michael and Robert Hurley, "Financial Performance Indicators for Health Plans in Medicaid Managed Care", Managed Care Quarterly, 12(1), 2004, p. 20. Debra A. Draper, Robert E. Hurley, and Ashley C.
Short "Medicaid Managed Care: The Last Bastion Of The HMO?" Teresa A. Coughlin, Brian K. Bruen, and Jennifer King Chang, Debbie, Alice Burton, John O'Brien, and Robert E. Hurley. Honesty As Good Policy: Evaluating Maryland's Medicaid Managed Care Program. The Milbank Quarterly, Vol. 81, No. 3, 2003. Manatt, Phelps & Phillips, LLP. “Medicaid Managed Care in New York: A Public-Private Partnership That Works.” A report of the New York State Coalition of Prepaid Health Services Plans. December 2003 The Alliance of Community Health Plans (ACHP) and the Association for Community Affiliated Plans (ACAP). Promoting Disease Prevention in Health Plans: Information Systems and Technology Assessment, October 2003. IT Prevention Assessment Survey submitted to AHCAHP plans for this study. Shields AE, Comstock C, Finkelstein JA, and Weiss KB. “Comparing Asthma Care Provided to Medicaid-Enrolled Children in a Primary Care Case Manager Plan and a Staff Model HMO.” Ambulatory Pediatrics. Volume 3, Number 5. September – October 2003 Robert E. Hurley. Medicaid-Focused Health Plans: A Community Health Conspiracy, June 2003 United States Government Accountability Office. "Federal Oversight of Growing Medicaid Home and Community-Based Waivers Should Be Strengthened." June 2003 Debra A Draper and Marsha R Gold. "Provider risk sharing in Medicaid managed care plans" Health Affairs, May/June 2003; 22(3): 159-167 The Lewin Group. Extending the Federal Drug Rebate to Medicaid MCOs: Analysis of Impacts, May 2003 Smith V, Hamacher L. “The Good Olde Days of Fee-for-Service Were Not So Good After All: Managed Care Has Made Things Better.” Health Management Associates for the Association of Health Center Affiliated Health Plans. May 2003 Vern Smith and Linda Hamacher. The Good Olde Days of Fee for Service Were Not So Good After All: Managed Care Has Made Things Better, May 2003 Nancy Beronja, Joel Menges and Meg Murray. Comparison of Medicaid Pharmacy Costs and Usage between the Fee-for-Service and Capitated Settings, January 2003 Robert E Hurley and Stephen A Somers. "Medicaid and managed care: a lasting relationship?" Health Affairs, January/February 2003; 22(1): 77-88 John Holahan and Shinobu Suzuki "Medicaid managed
care payment methods and capitation rates in 2001" Marsha Gold, Jessica Mittler, Debra Draper, and David
Rousseau The Lewin Group. "Medicaid Cost Containment: Report 1," October 2002. Douglas Guerdat, "Open Access HMOs," September 2002. Margaret Murray. “Community Health Center Plans: 1998 and 1999 HEDIS Scores Confirm High Performance,” Association for Health Center Affiliated Health Plans, March 2002. Lee Partridge, “The APHSA Medicaid HEDIS Database Project” American Public Human Services Association, December 2001. Suzanne Felt-Lisk, Rebecca Dodge, Megan McHugh, “Trends in Health Plans Serving Medicaid – 2000 Data Update,” The Kaiser Commission on Medicaid and the Uninsured, November 2001. Ann Zuvekas, “Community Health Center Affiliated Health Plans: A Viable Alternative for Medicaid Managed Care?” Association for Health Center Affiliated Health Plans, November, 2001. Bradford Gray and Catherine Rowe, “Safety Net Health Plans: A Status Report,” Health Affairs, January 2000. Michael Sparer and Lawrence Brown, “Uneasy Alliances: Managed Care Plans Formed By Safety-Net Providers,” Health Affairs, July 2000. Colleen Grogan and Michael Gusmano, “How are safety-net providers faring under Medicaid managed care?,” Health Affairs, March 1999. Himmelstein, David U., MD, Steffie Woolhandler, MD, MPH, Ida Hellander, MD, Sidney M. Wolfe, MD, "Quality of Care in Investor-Owned vs Not-for-Profit HMOs," The Journal of the American Medical Association, July 14, 1999, volume 281, no. 2, p. 159-163. New York State Coalition of PHSP’s, “The Role of Provider-Sponsored Health Plans in Maintaining the Safety Net in a Managed Care Era,” February 1998. Cara Lesser, Kathryn Duke and Harold Luft, “Care for the Uninsured and Underserved in the Age of Managed Care,” Commonwealth Fund, March 1997. Debra Lipson and Naomi Naierman, “Effects of Health
System Changes on Safety-net Providers,” Health Affairs, Summer, 1996.
|