Managed Health Care

213 Results

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Research

Feb 25, 2026

Trends in Medicaid Utilization and Financing for Hospitals With Psychiatric Beds

CMS HCRIS data from 2014 to 2023 were analyzed. Two Outcomes were examined: percentage of inpatient psychiatric discharges paid by Medicaid (both fee-for-service and managed care plans) and percentage of inpatient psychiatric days paid by Medicaid.
Research

Feb 3, 2025

Building Provider Networks for Enrollees in Both Medicare and Medi-Cal

Provider networks gaps could affect California's new exclusively aligned enrollment dual-eligible special needs plans. Only 60% of clinicians serving fee-for-service Medicare dual-eligible enrollees are in Medi-Cal provider networks.
Research

Mar 6, 2024

Are Disparities in Mental Health Care for Medicaid Beneficiaries Lower in Managed Care?

Medicaid managed care has not improved the inequitable allocation of mental health care across racial and ethnic groups. Attention to monitoring of racial and ethnic differences in use of mental health care in Medicaid managed care is warranted.
Jan 1, 2023

Improving Care for Depression in Primary Care - the RAND Partners in Care Tools

Partners in Care tool (PIC) is an integrated health tool improving care for depression in primary care.
Research

Mar 4, 2022

Content and Actionability of Recommendations to Providers After Shadow Coaching

This study aimed to examine the content of the recommendations given to providers aimed at improving provider-patient interactions, characterize these recommendations, and examine their actionability.
Research

Dec 2, 2021

New York State 1115 Demonstration Independent Evaluation: Interim Report

This report examines whether two components of New York State's Medicaid Section 1115 Waiver—the Managed Long-Term Care (MLTC) program and the 12-month continuous eligibility policy—have achieved their goals.
Research

Feb 12, 2021

Care Management Reduced Infant Mortality for Medicaid Managed Care Enrollees in Ohio

The Ohio Department of Medicaid introduced requirements to be delivered by Medicaid managed care organizations (MCOs). This study evaluated the impact of care management on reducing infant mortality in the largest Medicaid MCO in Ohio.
Research

Dec 12, 2019

The Challenge of Determining Appropriate Care in the Era of Patient-Centered Care and Rising Health Care Costs

The goal of health care is to ensure that patients receive the right care for the right patient for the right problem at the right time from the right provider. Inappropriate care is costly. The challenge is to define and increase delivery of appropriate care.
Research

Aug 20, 2019

Medical Practice Consolidation and Physician Shared Patient Network Size, Strength, and Stability

Practice consolidation can increase the stability of physician networks, which may have positive implications for organizational effectiveness.
Research

Jul 26, 2017

Medicare Advantage Associated with More Racial Disparity Than Traditional Medicare for Hospital Readmissions

Risk-reduction strategies adopted by Medicare Advantage plans to prevent hospital readmissions have not succeeded in lowering the markedly higher rates of readmission for black patients compared to white patients.
Research

Jan 25, 2017

Does Medicare Advantage Enrollment Affect Home Healthcare Use?

Medicare Advantage beneficiaries use less home health than do their Fee-for-Service counterparts, but there is marked regional variation in use by both groups.
Research

Oct 18, 2016

Differences in Nursing Home Quality Between Medicare Advantage and Traditional Medicare Patients

Researchers found little difference in the quality of nursing home care provided to Medicare enrollees in managed care and those enrolled in traditional fee-for-service nursing homes.

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Managed Health Care

Managed Health Care

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Trends in Medicaid Utilization and Financing for Hospitals With Psychiatric Beds

Building Provider Networks for Enrollees in Both Medicare and Medi-Cal

Are Disparities in Mental Health Care for Medicaid Beneficiaries Lower in Managed Care?

Improving Care for Depression in Primary Care - the RAND Partners in Care Tools

Content and Actionability of Recommendations to Providers After Shadow Coaching

New York State 1115 Demonstration Independent Evaluation: Interim Report

Care Management Reduced Infant Mortality for Medicaid Managed Care Enrollees in Ohio

The Challenge of Determining Appropriate Care in the Era of Patient-Centered Care and Rising Health Care Costs

Medical Practice Consolidation and Physician Shared Patient Network Size, Strength, and Stability

Medicare Advantage Associated with More Racial Disparity Than Traditional Medicare for Hospital Readmissions

Does Medicare Advantage Enrollment Affect Home Healthcare Use?

Differences in Nursing Home Quality Between Medicare Advantage and Traditional Medicare Patients

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Managed Health Care

Managed Health Care

Related Topics

Explore RAND’s Work on this Topic

Error

Trends in Medicaid Utilization and Financing for Hospitals With Psychiatric Beds

Building Provider Networks for Enrollees in Both Medicare and Medi-Cal

Are Disparities in Mental Health Care for Medicaid Beneficiaries Lower in Managed Care?

Improving Care for Depression in Primary Care - the RAND Partners in Care Tools

Content and Actionability of Recommendations to Providers After Shadow Coaching

New York State 1115 Demonstration Independent Evaluation: Interim Report

Care Management Reduced Infant Mortality for Medicaid Managed Care Enrollees in Ohio

The Challenge of Determining Appropriate Care in the Era of Patient-Centered Care and Rising Health Care Costs

Medical Practice Consolidation and Physician Shared Patient Network Size, Strength, and Stability

Medicare Advantage Associated with More Racial Disparity Than Traditional Medicare for Hospital Readmissions

Does Medicare Advantage Enrollment Affect Home Healthcare Use?

Differences in Nursing Home Quality Between Medicare Advantage and Traditional Medicare Patients

Oops! An unexpected error has occurred.