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Medicaid Managed Care in New York: A Work in Progress

December 1, 2003 - New York State has been trying to make a transition from Medicaid fee-for-service to Medicaid managed care, which policymakers believe has the potential to control costs and improve care. A new report from the United Hospital Fund finds that, so far, managed care has not lived up to these promises, mainly because of frequent "churning" among the ranks of the insured.


The Federal Employee Health Benefits Program: A Model for Workers, Not Medicare

November 1, 2003 - The Federal Employees Health Benefits Program (FEHBP) provides decent, affordable health coverage for the 8.5 million people it serves, including the president, members of Congress, federal employees, retirees, and their families. The most tangible real-world example of "managed competition," FEHBP is a system of competing private health plans in which the government contributes a relatively fixed amount toward the employee's coverage and employees pay a premium based on the cost of the plan they choose.

Fund Report

Developmental Specialists in Pediatric Practices: Perspectives of Clinicians and Staff

November 1, 2003 - A survey of clinicians and staff at 15 practices finds that Healthy Steps specialists have become well integrated into pediatric practice.

In the Literature

Obtaining Greater Value from Health Care: The Roles of the U.S. Government

November 1, 2003 - According to this commentary, the problems in the U.S. health care system are unlikely to be solved without strong leadership from the federal government in establishing an agenda to set national priorities, develop guidelines for health care, and help to implement measures to track provider performance.

In the Literature

Battery-Powered Health Insurance: Stability in Coverage of the Uninsured

November 1, 2003 - New analysis of insurance coverage over time finds that a total of 84.8 million people under age 65 were uninsured for at least one month in the four-year period 1996 to 1999. This amounts to 38 percent of the population tracked during these four years.

In the Literature

Care for the Uninsured in General Internists' Private Offices

November 1, 2003 - General internists provide a valuable service to uninsured patients, but one that also has limitations, according to a new study.

In the Literature

Churn, Churn, Churn: How Instability of Health Insurance Shapes America's Uninsured Problem

November 1, 2003 - Nearly two of five (38%) Americans under age 65, and more than two-thirds (68%) of those with low incomes, had no health insurance at some point during 1996-1999, according to a survey that tracks coverage over time.

Issue Brief

Healthcare Workforce Diversity: Developing Physician Leaders

October 12, 2003 - While diversity in the health care workforce is a crucial mechanism for improving the health system's ability to care for minority patients, we should also pay attention to diversity among physician leaders.


The Growing Share of Uninsured Workers Employed by Large Firms

October 10, 2003 - Although large employers are much more likely than small ones to offer health coverage, recent evidence suggests that large-firm workers and their dependents comprise a significant and growing share of the working uninsured.

Fund Report

Insurance, Access, and Quality of Care Among Hispanic Populations: 2003 Chartpack

October 1, 2003 - Nearly half (45%) of Hispanics under age 65 and two-thirds (65%) of working-age Hispanics with low incomes were uninsured for all or part of the year in 2000, according to a new analysis by The Commonwealth Fund.


American Journal of Public Health: Racial and Ethnic Disparities

October 1, 2003 - The root causes of disparities in the quality of care between minority Americans, including blacks, Hispanics, Asians, and Native Americans, and whites are not well understood, but a new study finds that patient-physician interactions contribute to the problem.

In the Literature

Adverse Selection in Private, Stand-Alone Drug Plans and Techniques to Reduce It

October 1, 2003 - No insurance companies now offer stand-alone prescription drug coverage. Why is this? One major factor may be that the cost of offering and administering a drug-only product is quite expensive.

Issue Brief

Chronic Conditions and Disabilities: Trends and Issues for Private Drug Plans

October 1, 2003 - How can a Medicare prescription drug benefit be designed to ensure adequate
coverage for individuals with multiple chronic conditions? Because of its expected drug costs, this particular population is a challenge to insure through private market

Issue Brief

Medicare Prescription Drug Legislation: How Would It Affect Beneficiaries?

October 1, 2003 - This brief examines the adequacy, complexity, and fairness of the Medicare drug benefit.

Issue Brief

Private, Individual Drug Coverage in the Current Medicare Market

October 1, 2003 - This issue brief considers Medigap and Medicare+Choice—two current private, individual drug coverage plans for Medicare beneficiaries. It suggests that individual market initiatives addressing drug coverage will need to find ways to achieve better participation (of plans and beneficiaries) than currently exist in these markets.

Issue Brief