The Value of Medicaid to Older Households

Medicaid is an importance source of funding for long-term care for the elderly. While Medicaid is the payer of last resort, contributing only after Medicare and private insurance pay their share and individuals spend their assets down to a relatively low “disregard” amount, the very high cost of nursing home care – on the order […]

Florida CHAIN Weighs in on Federal Medicaid Regulations

Managed Care Organizations (MCOs) are health plans that attempt to control the cost and quality of care by coordinating medical and other health-related services. State Medicaid plans began to contract with independent MCOs in the 1980s as a strategy to control and predict their Medicaid expenditures. The number of Medicaid beneficiaries that receive their health care […]

Kentucky’s Rush Into Medicaid Managed Care: A Cautionary Tale For Other States

Kaden Stone loves playing baseball, riding his bike and watching Duck Dynasty on TV at his red-brick ranch-style house in rural south central Kentucky. Despite his energy, the tiny boy of eight with a crewcut and missing front tooth can’t eat much, the result of congenital bowel problems that have required dozens of surgeries and […]

Continuity of Care Requirements in the Managed Medical Assistance Program

The Statewide Medicaid Managed Care (SMMC) program consists of two components: the Managed Medical Assistance (MMA) program and the Long-term Care (LTC) program. The MMA program provides medical services to infants, children and adults on Medicaid, while the LTC program provides home and community-based long-term care services to elders and adults with disabilities on Medicaid […]