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Coverage of Certain Demonstration Projects under Medicare Modernization Act CMS Research Presentations at AcademyHealth 2004 The Medicare Replacement Drug Demonstration Medicaid Analytic eXtract (MAX) View CMS Chart Series Need Data? ResDAC offers help in finding and using CMS data. |
Five-State Medicaid Reform Evaluation
This evaluation by Mathematica Policy Research (which was completed in 2001) examined Medicaid 1115 demonstrations (managed care) in five States-Hawaii, Maryland, Oklahoma, Rhode Island, and Tennessee-during the period 1994-1997. The experiences of these States suggested that switching to a managed care delivery system could help States gain some predictability over their costs without generating high levels of unmet need or dissatisfaction. One of the goals for States is to ensure that, subject to budget constraints, residents have access to health care in order to live satisfying productive lives. Hawaii and Tennessee, with sufficient planning, were able to reduce unmet health care needs of the uninsured by extending insurance coverage through Section 1115 demonstrations or through SCHIP for children. For special needs populations, a more gradual move to managed care and closer monitoring may be prudent.
Evaluation Highlights:
