Health Care Financing Review

BACKGROUND Numerous studies have shown greater mortality among Medicaid beneficiaries and the uninsured, compared to those with employer-sponsored health insurance (Ketz et al., 2004; Sorlie et al., 1994; Carr et al., 1989; Nersesian, 1985). Cancer-related...

INTRODUCTION This article provides an overview of CMS' MITA, an initiative designed to stimulate an integrated business and IT transformation affecting the Medicaid enterprise in all States. MITA includes an architectural framework, IT processes,...

INTRODUCTION The enactment of SCHIP in 1997 significantly expanded public insurance coverage for children of low-income families. Numerous studies have confirmed the positive effect of SCHIP both on extending coverage to children living near poverty,...

INTRODUCTION Medicare's risk contracting program has been operational since 1985, following passage of the Tax Equity and Fiscal Responsibility Act of 1982 (TEFRA). Under TEFRA, risk contracts were entered into by health maintenance organizations...