Medicaid expenditures per recipient have increased substantially in the past decade, even after controlling for medical care price inflation. In response to this Medicaid expenditure growth, various policies to encourage Medicaid enrollment in cost-effective health maintenance organizations (HMOs) are being considered, including guaranteed Medicaid eligibility for Medicaid eligibles enrolled in...

OBJECTIVE To assess whether increasing enrollment in State Children's Health Insurance Programs (S-CHIPs) has an impact on the number of office physicians participating in Medicaid and the extent of their participation. Effects are measured for a freestanding S-CHIP program with an open provider panel and an S-CHIP program that uses the state's Medicaid provider panel. DATA SOURCES Children's...

BACKGROUND The Patient Protection and Affordable Care Act will expand Medicaid coverage substantially, with the goal of improving the health of low-income individuals and reducing disparities in coverage and access. Whether insurance expansions are successful in achieving this goal will depend in part on physician response to changes in insurance coverage mix and the effect of this response on ...

n engl j med 369;19 nejm.org november 7, 2013 1773 The proportion of these lowincome adults under 65 years of age who are uninsured exceeds 40% nationally. Individual insurance is prohibitively expensive for most adults with low incomes, and employer-sponsored insurance is often unaffordable or not offered to the members of this population who work. Extending Medicaid coverage to more low-incom...

Medicaid, passed 40 years ago with Medicare, had roots in the decades-long public assistance programs which preceded it. These roots are still evident today. This article explores the origin and passage of the Medicaid Program in 1965, describes key statutory provisions, and reflects on the resulting strengths and weaknesses of the program today.

In 2006 an inter-agency team of researchers was assembled to address the Medicaid undercount issue in the Current Population Survey (CPS). Records on enrollment in 2000-2001 were compiled from the Medicaid Statistical Information System (MSIS) and matched to the CPS survey data covering the same years. Assuming the MSIS data reflected “true” Medicaid status, the matched dataset was used to exam...

PURPOSE We compared inpatient days, nursing home days, and total Medicaid claims for five Medicaid-funded home- and community-based services (HCBS) programs for in-home and assisted living services in Florida. DESIGN AND METHODS We studied a single cohort of Medicaid enrollees in Florida aged 60 and older, who were enrolled for the first time in any of five Medicaid HCBS programs and who had ...

BACKGROUND Although state Medicaid programs cover cancer screening, Medicaid beneficiaries are less likely to be screened for cancer and are more likely to present with tumors of an advanced stage than are those with other insurance. The current study was performed to determine whether state Medicaid eligibility and reimbursement policies affect the receipt of breast, cervical, and colon cancer...

OBJECTIVE The role of two solo medical librarians in supporting Medicaid programs by functioning as information specialists at regional and state levels is examined. SETTING A solo librarian for the Massachusetts Medicaid (MassHealth) program and a solo librarian for the New England States Consortium Systems Organization (NESCSO) functioned as information specialists in context to support Med...