Medicaid Managed Care: A Guide for States
Since the publication of the third edition of Medicaid Managed Care: A Guide for States in 1997, Medicaid managed care has continued its rapid expansion – both in enrollment and complexity. These changes and the growing sophistication of states, plans, advocates, and consumers hae raised new challenges for states. This Guide is designed to identify and quantify these changes and to assist states as they address these challenges. Like the earlier editions of Medicaid Manged Care: A Guide for States (1990, 1995, and 1997), this fourth edition is intended as a practical took for a variety of state health policy officials and others interested in the topic. This edition builds on the information provided in the previous editions to help states continue improving and expanding their programs.
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For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 
