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U.S. Department of Health and Human Services Beyond Fair Hearings: How Five States Help Medicaid Managed Care Beneficiaries Resolve Disputes with Health Plans
Gary Smith, Janet O'Keeffe, Letty Carpenter, Pamela Doty, Gavin Kennedy, Brian Burwell, Robert Mollica and Loretta Williams
George Washington University, Center for Health Policy Research
This report was prepared under contract #HHS-100-97-0015 between the U.S.
The Balanced Budget Act of 1997 included a number of changes to Medicare managed care. The newly created Medicare+Choice program differs from its predecessor with regard to payment policies, enrollment and disenrollment policies, and the types of plans that can contract to provide care to Medicare beneficiaries.
Ronald J. Ozminkowski, Ph.D., Mark W. Smith, Ph.D., Rosanna M. Coffey, Ph.D., Tami L. Mark, Ph.D., Cheryl A. Neslusan, Ph.D., and John Drabek, Ph.D. The MEDSTAT Group
This article explains new research and policy initiatives undertaken by the White House and HHS. These initiatives, including a new study of the employer group market, will provide the information policymakers and consumers need to make informed decisions about long-term care insurance.
U.S. Department of Health and Human Services Evaluation of the District of Columbia's Demonstration Program, "Managed Care System for Disabled and Special Needs Children": Year One Report