Medicaid Managed Care Resources Now Available on VNAA Website
VNAA recently collected a diverse series of resources on Medicaid managed care to reflect the growing need to understand which Medicaid beneficiaries are covered by managed care and what those benefits look like for vulnerable patients (including dual eligible). These resources range from technical to general so there is something for everyone. State Medicaid programs vary tremendously, so state-level data are included where possible.
Selected Resources on Medicaid Managed Care (MMC)
- Transitioning Long Term Services and Supports Providers into Managed Care Programs
A 30,000 foot guide to the specific challenges encountered by providers as they begin to contract with more MMC, and by the MMC plans as they expand.
- Are State Medicaid Programs Ready for 2014?
Robert Wood Johnson Foundation
A good primer about the type of MMC changes. On p. 9, there is an interesting section about provider capacity and MMC network adequacy.
- Home Health Considerations for a Medicaid Managed Care Delivery Systems: Avoiding Duplication of Services and Payments
Very technical guide to the different way that States can pay for home health through managed care. This is not a guide for providers but for states. The issues are very similar to what we were dealing with on hospice and MA.
- Future Spending Fears Spur Managed Care for Older Adults: A Risky Business With Challenges and Uncertainties for All Parties.
American Health Care Association
A state-by-state analysis of covered Medicaid LTSS decisions and services. Includes a good discussion of network adequacy.
- Medicaid Council Creates Primer on the Ten Dual Eligible Demos
Detailed overview of the approved dual eligible demos.
Detailed statistics of the Medicaid population. P. 24 includes the percentage of the population (by insurance type) 19-64 who receive in-home services (broadly defined); p. 28 includes the percentage of the population (by insurance type) 65+ who receive in-home services.