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Courtot B, Coughlin TA, Lawton E. 2013. Medicaid and CHIP managed care payment methods and spending in 20 states: Final report to the Office of Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services. Washington, DC: Urban Institute, 51 pp.

Annotation: This report, which is a companion to the Medicaid and CHIP Risk-Based Managed Care in 20 States report, focuses on 20 states' Medicaid and Children's Health Insurance Program (CHIP) managed care payment methods and spending. The states are Arizona, California, Connecticut, Delaware, Florida, Maryland, Massachusetts, Michigan, Minnesota, New Jersey, New Mexico, New York, Ohio, Pennsylvania, Rhode Island, Tennessee, Texas, Virginia, and Wisconsin. The report addresses two research questions: (1) how do the 20 states establish capitation rates in their Medicaid and CHIP managed care programs, and how have their approaches to and policies for rate setting changed over the past decade and (2) how does monthly Medicaid spending for four distinct managed care enrollee populations (adults and children, with and without disabilities) vary among the 20 states? The report introduces the issues and presents the study approach, methods, findings, and a discussion.

Contact: Urban Institute, 500 L'Enfant Plaza, SW, Washington, DC 20024, E-mail: https://www.urban.org/about/contact-us Web Site: http://www.urban.org Available from the website.

Keywords: Adults, Arizona, California, Children, Children', Connecticut, Costs, Delaware, Disabilities, Florida, Managed care, Maryland, Massachusetts, Medicaid, Michigan, Minnesota, New Jersey, New Mexico, New York, Ohio, Pennsylvania, Rhode Island, State programs, Tennessee, Texas, Virginia, Wisconsin, s Health Insurance Program

   

The MCH Digital Library is one of six special collections at Geogetown University, the nation's oldest Jesuit institution of higher education. It is supported in part by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under award number U02MC31613, MCH Advanced Education Policy with an award of $700,000/year. The library is also supported through foundation and univerity funding. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.