Managed Care Contracting
Overview
The Center's initiatives in the area of managed care systems for low-income, publicly insured individuals play a central role in the evolution of Medicaid managed care. As a part of this work, the Center:
- Conducts ongoing analytic studies of Medicaid managed care contracts and provider agreements, focusing on areas such as children's health, substance abuse treatment, and mental health services. These studies assess the evolving relationship between State Medicaid agencies and managed care plans and the potential impact on beneficiaries and safety-net providers.
- Maintains the only database of state Medicaid agency, risk-based managed care general service agreements and carve-out contracts.
- Develops sample managed care purchasing specifications in areas of special concern, such as diabetes, HIV/AIDS, data reporting, and children enrolled in Medicaid and State Children's Health Insurance Programs (SCHIP).
- Trains staff at State Medicaid, public health, and SCHIP agencies.
Along with the core support of the Packard Foundation, significant support for these projects comes from several agencies within the US Department of Health and Human Services, including the Health Resources and Services Administration, the Centers for Disease Control and Prevention, and the Substance Abuse and Mental Health Services Administration.
Negotiating the New Health System, 4th Edition
Negotiating the New Health System, 3rd Edition. The Third edition may have broken links as it is still in transition. Please bear with us; it has been posted, in the meantime, for potential usefulness, though it may not be entirely usable. Please contact us if you have any problems.
