State Medicaid Programs With MLTSS: The 2019 OPEN MINDS Update
Market Intelligence Reports |
04/05/2019 03:01 pm EDT
The term long-term services and supports (LTSS) refers to care provided to individuals with functional limitations and chronic illnesses who need help completing activities of daily living. Activities of daily…
The Medicaid Vertical Carve-Out Landscape: The 2019 OPEN MINDS Update
Market Intelligence Reports |
03/07/2019 01:57 pm EST
Traditional, primary “horizontal” carve-outs are on the decline in Medicaid – nine states have primary carve-outs to care management organizations (CMOs) compared to 13 states in 2011. This change is…
State Medicaid Behavioral Health Carve-Outs: The OPEN MINDS 2019 Annual Update
Market Intelligence Reports |
02/21/2019 03:46 pm EST
Medicaid financing of behavioral health (mental health and addiction) benefits across state Medicaid programs can take one of three forms—the benefits can be integrated with financing for physical health across…
The 2019 OPEN MINDS Medicaid Managed Care Market Share Report
Market Intelligence Reports |
01/24/2019 09:09 pm EST
Managed care is the dominant Medicaid contracting model, with 73% of the country’s 74.6 million Medicaid enrollees receiving services through health plans at-risk for physical health and acute care services. In…
The 2019 OPEN MINDS Medicaid Managed Care Update: A State By State Analysis
Market Intelligence Reports |
01/17/2019 04:51 pm EST
There are three key elements to understanding the impact of Medicaid financing arrangements in any state. These three elements include the financing mechanism, the services provided under the financing arrangement,…
2018 Spending Trends For The Medicaid-Medicare Dual Eligible Population: An OPEN MINDS Market Intelligence Report
Market Intelligence Reports |
10/03/2018 09:00 pm EDT
Dual eligibles, who are sometimes referred to as Medicare-Medicaid enrollees, are consumers that—due to disability, age, and/or income—are eligible to enroll in both Medicare and Medicaid. There are two main…
The 2018 OPEN MINDS Medicaid ACO Trend Update
Market Intelligence Reports |
07/16/2018 10:55 am EDT
Accountable care organizations (ACOs) are groups of health care professionals and/or provider organizations, such as physicians and hospital systems, that form an agreement to coordinate care for a set group…
The 2018 OPEN MINDS Medicare ACO Update: A Four-Year Trends Report
Market Intelligence Reports |
07/14/2018 12:00 am EDT
Accountable care organizations (ACOs) were originally developed as a Medicare construct as part of the Patient Protection and Affordable Care Act (PPACA) to improve care coordination and lower the cost…
Medicare-Medicaid Dual Eligible 2018 Market Update: Enrollment & Coverage
Market Intelligence Reports |
06/29/2018 09:36 am EDT
Dual eligibles are consumers who—due to disability, age, and/or income—are eligible to enroll in both Medicare and Medicaid. Because dual eligibles are enrolled in both Medicaid and Medicare, they receive…
The Social Services Market: Over $331 Billion In Spending In FY2016
Market Intelligence Reports |
05/25/2018 09:03 am EDT
In order to address the effect of social conditions and poverty on health, the U.S. government has developed the social determinants of health, which are defined as “conditions in the…
