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.
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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