A Snapshot of Seven State Medicaid Managed Care Enrollment and Disenrollment Systems
As states enroll more and more of their Medicaid population into managed care programs, they are confronted with numerous challenges, among them, how to construct enrollment and disenrollment systems that serve the needs of Medicaid beneficiaries and allow states to better manage their programs. As part of a larger project undertaken by Cornell University and funded by The Pew Charitable Trusts, this National Academy for State Health Policy paper examines enrollment and disenrollment practices and outcomes in seven state Medicaid managed care programs.
This paper is based on site visits made in the winter of 1997 to seven states: Delaware, Indiana, Michigan, Oregon, Rhode Island, Utah, and Wisconsin. In each state, interviews were conducted with repesentatives of Medicaid (and sometimes other) agencies, enrollment brokers, health plans, and consumers. The seven states included in this rport were selected in an effort to represent a range of enrollment policies and experience.
| 1998.Oct_.snapshot.seven_.states.medicaid.managed.care_.enrollment.pdf | 6.8 MB |
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. 
