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ACAP Fact Sheets
 TitleCategory 
Medicaid-Focused Health Plans Continue Growing Amid Overall Decline in Medicaid Managed Care EnrollmentNovember 2008Download
States Look to Medicaid Health Plans For Expansions to the Uninsured and Health Care Reform Solutions November 2008Download
Analysis of Dual Eligible Pharmacy Costs Under Medicaid and Medicare Part DSeptember 2008Download
Analysis of Drug Rebate Equalization Act's Savings to the Medicaid ProgramSeptember 2008Download
Medicaid Managed Care and Actuarial SoundnessNovember 2007Download
Medicaid-Focused Health Plans Cover Over 50% of All Medicaid Capitated Lives for the First TimeNovember 2007Download
Medicaid and health plan contracting for Behavioral Health services; the role of carve-outsAugust 2007Download
Citizenship DocumentationApril 2007Download
Best Practices in Specialty Provider Recruitment and Retention: Challenges and SolutionsAugust 2005Download
Medicaid Managed Care Perspective on Florida’s Medicaid Waiver ProposalFebruary 2005Download
ACAP Health Plans: Identifying a Medical Home for Chronic Emergency Room Patients December 2004Download
ACAP Press Releases
 DescriptionCategory 
U.S. News and World Report Ranks ACAP Health Plans Among Top In the CountryNovember 17, 2008Download
High-Touch Models: Select Special Needs Plans’ Approach to Caring for Vulnerable PopulationsDecember 3, 2007Download
COMMUNITY PARTNERS, INC. WINS THE SECOND “SUPPORTING THE SAFETY NET” AWARDJuly 30, 2007Download
Pharmacy Carve-In Arrangements for Medicaid Managed Care Promote Better Health and Savings October 24, 2007Download
Contrary to SCHIP Veto Threat, Medicaid Health Plans are Critical to Covering the Uninsured July 25, 2007Download
Association for Community Affiliated Plans Applauds Bipartisanship in Crafting of Senate SCHIP Reauthorization PackageJuly 16, 2007Download
Senator Bingaman Introduces ACAP-endorsed Bill to Save Medicaid Money; Savings Would Cover 300,000 ChildrenJune 12, 2007Download
ACAP Expands Work to Support Members with Not-For-Profit Medicare Advantage Special Needs PlansMay 10, 2007Download
Association for Community Affiliated Plans Supports AHIP’s Vision to Expand Health Care Coverage to All AmericansNovember 16, 2006Download
Senator Mike DeWine Honored for Health Care Leadership by Association for Community Affiliated Plans July 25, 2006Download
New Study: Safety Net Health Plans & Other Safety Net Providers Can Reduce Avoidable ER VisitsMay 3, 2006Download
MARDY SANDLER, LMSW AND BABY LOVE AWARDED ACAP’S FIRST “SUPPORTING THE SAFETY NET” AWARDJuly 25, 2006Download
Darnell Dent, CEO of Community Health Network of Washington, Assumes ACAP Board Chairmanship June 11, 2006Download
Full Use of Medicaid Capitation Model Would Create Large SavingsApril 18, 2006Download
Rate Setting and Actuarial Soundness in Medicaid Managed CareFebruary 23, 2006Download
Medicaid Commission Endorses ACAP Proposal to Extend the Medicaid Drug Rebate to Medicaid PlansAugust 23, 2005Download
Association for Community Affiliated Plans and Commonwealth Fund Release Working Paper on Specialist Contracting Among Medicaid Plans August 16, 2005Download
Bibliography: Medicaid Managed Care
 Description 
Lewin Group and ACAP, "Analysis of Drug Rebate Equalization Act's Savings to the Medicaid Program," September 2008.Download
Lewin Group and ACAP, "Analysis of Dual Eligible Pharmacy Costs Under Medicaid and Medicare Part D," September 2008.Download
Avalere Health, "High-Touch Models: Select Special Needs Plans’ Approach to Caring for Vulnerable Populations" ACAP and Avalere Health, December 2007.Download
Christopher Trenholm, Embry Howell, Ian Hill, and Dana Hughes,"Three Independent Evaluations of Healthy Kids Programs Find Dramatic Gains in Well-Being of Children and Families," Mathematica In Brief #1; November 2007Download
Lewin Group and ACAP, Programmatic Assessment of Carve-In and Carve-Out Arrangements for Medicaid Prescription Drugs, October 24, 2007 Download
Cynthia R. Schuster, M.P.P., Jean M. Mitchell, Ph.D., and Darrell J. Gaskin, Ph.D., Partially Capitated Managed Care Versus FFS for Special Needs Children, Health Care Financing Review, Summer 2007,Volume 28, Number 4Download
Lewin Group and ACAP, Medicaid Health Plans: A Turnkey Solution for Expanding Health Insurance Coverage Case Studies of California and Massachusetts, July 2007 Download
Suzanne Felt-Lisk, M.P.A., Allison Barrett, and Rebecca Nyman, M.P.H., Public Reporting of Quality Information on Medicaid Health Plans, Spring 2007Download
Association for Community Affiliated Plans & National Association of Community Health Centers, The Impact of Community Health Centers & Community-Affiliated Health Plans on Emergency Department Use, April 2007.Download
Lewin Group with Association for Community Affiliated Plans and Medicaid Health Plans of America, Collaboration in Medicaid Managed Care Rate Setting, March 2007Download
Lewin Group, Assessment of HUSKY's, Connecticut's Medicaid Managed Care Program, January 17, 2007Download
Roohan, Patrick J. , MS, Jacqueline M. Butch, MBA, Joseph P. Anarella, MPH, "Quality Measurement in Medicaid Managed Care and Fee-for-Service: The New York State Experience." American Journal of Medical Quality, Volme 21, No 3, 185-191, December 2006.Download
Association for Community Affiliated Plans, Safety Net Health Plans: Critical Partners in the Health Care Safety Net --April 2006Download
Lewin Group, Medicaid Capitation Expansion's Potential Cost Savings, April 18, 2006Download
Disability Care Coordination Organizations, The Experience of Medicaid Managed Care Programs for People with Disabilities, Center for Health Care Strategies, 2006Download
Elaine Batchlor, Creating a Win-Win-Win With P4P, January, 2006Download
Lewin Group, Rate Setting and Actuarial Soundness in Medicaid Managed Care, January 23, 2006 Download
Schneider, Eric C., Alan M. Zaslavsky, Arnold M. Epstein, "Quality of care in for-profit and not-for-profit health plans enrolling Medicare beneficiaries." The American Journal of Medicine, Volume 118, Issue 12, pages 1392-1400, December 2005Download
National Academy of State Health Policy "Medicaid Managed Care: Looking Forward, Looking Back." June 2005Download
Stephen Berman, Carl Armon, and James Todd, "Impact of a Decline in Colorado Medicaid Managed Care Enrollment on Access and Quality of Preventive Primary Care Services" PEDIATRICS December 1, 2005 Vol. 116 No. 6 December 2005, pp. 1474-1479 Download
Brodsky, Karen, "ACAP Best Practices in Specialty Provider Recruitment and Retention: A Report of Common Provider Network Challenges and the Actions Health Plans Have Taken to Address Them," funded by the Commonwealth FundDownload
The Lewin Group, Assessment of Medicaid Managed Care Expansion Options in Illinois, May 2005Download
The Lewin Group and Coalition of Medical Assistance Managed Care Organizations, Comparative Evaluation of Pennsylvania’s HealthChoices Program and Fee-for-Service Program, May 2005Download
The Lewin Group, Comparative Evaluation of Pennsylvania's HealthChoices Program and Fee-for-Service Program, May 2005Download
Michigan Medicaid: Relative Cost Effectiveness of Alternative Service Delivery Models, University of Maryland, Center for Health Program Development and Management, April 2005Download
Innovations in Medicaid Managed Care. “Health Plan Programs to Improve the Health and Well-Being of Medicaid Beneficiaries.” America’s Health Insurance Plans. March 2005Download
Stankaitis JA, Brill HR, and Walker DM. “Reduction in Neonatal Intensive Care Unit Admission Rates in a Medicaid Managed Care Program.” The American Journal of Managed Care. March 2005Download
Xiao X, Jensen GA. “Utilization of Health Care Services Among the Near-Elderly: A Comparison of Managed Care and Fee-for-Service Enrollees.” Managed Care Interface, March 2005Download
Jessica Mittler and Marsha Gold. "Physician Participation in Medicaid Managed Care: The California Experience." Managed Care Quarterly 2005; 13(2): 1-11. Download
Chyongchiou Jeng Lin, Donald Musa; Myrna Silverman and Howard B. Degenholtz. "Do Managed Care Plans Reduce Racial Disparities in Preventive Care?" Journal of Health Care for the Poor and Underserved,February 2005Download
James M. Guwani, Ph.D. and Robert Weech-Maldonado, M.B.A. "Medicaid Managed Care and Racial Disparities in AIDS Treatment." Health Care Financing Review. Winter 2004-2005/Volume 26, Number 2, 119-132. Download
Ann S. O'Malley, Christopher B. Forrrest, Robert M. Politzer, John T. Wulu and Leiyu Shi. "Health Center Trends, 1994-2001: What Do They Portend For The Federal Growth Initiative?" Health Affairs, Volume 24, Number 2, March/April 2005, 465-472.Download
Andrew B. Bindman, Arpita Chattopadhyay, Dennis H. Osmond, William Huen, and Peter Bacchetti. "The Impact of Medicaid Managed Care on Hospitalizations for Ambulatory Care Sensitive Conditions." Health Services Research, Feb 2004Download
Eric Schneider, Bruce Landon, Carol Tobias and Arnold M. Epstein. "Quality Oversight in Medicaid Primary Care Case Management Programs: As HMOs depart, are state Medicaid agencies ready to take the stage," Health Affairs, Volume 23, December 2004Download
United States Government Accountability Office. "Medicaid Managed Care: Access and Quality Requirements Specific to Low-Income and Other Special Needs Enrollees." Report to Senators, December 2004Download
The Lewin Group. Business Opportunities in the Medicare Modernization Act for Medicaid Focused Plans, November 2004Download
Womeodu RJ, Graney MJ, Gibson DV, Bailey JE. “Diabetic Patient Experiences in a Medicaid Managed Care System.” Tennessee Medicine. 96(10): 465-9, 2004 Oct.Download
The Lewin Group, Opportunities and Observations for Indiana Medicaid, June 2004Download
The National Association for State Health Policy, State Budget Cuts and Medicaid Managed Care: Case Studies in Four States, June 2004Download
The Lewin Group. "Medicaid Managed Care Cost Savings – A Synthesis of Fourteen Studies." Final Report Prepared for: America’s Health Insurance Plans, July 2004Download
Jean M. Mitchell, PhD, and Darrell J. Gaskin, PhD. "Do Children Receiving Supplemental Security Income Who Are Enrolled in Medicaid Fare Better Under a Fee-for-Service or Comprehensive Capitation Model?," Pediatrics 2004; 114: 196-204, July, 2004.Download
Bruce E. Landon, Eric C. Schneider, Carol Tobias, and Arnold M. Epstein "The Evolution Of Quality Management In Medicaid Managed Care" Health Affairs, July/August 2004; 23(4): 245-254Download
Verdier JM, Hurley RE. “State Medicaid Managed Care Evaluations and Reports, Themes, Variations and Lessons.” Resource Paper. Center for Health Care Strategies. May 2004Download
McCue, Michael and Robert Hurley, "Financial Performance Indicators for Health Plans in Medicaid Managed Care", Managed Care Quarterly, 12(1), 2004, p. 20.Download
Debra A. Draper, Robert E. Hurley, and Ashley C. Short "Medicaid Managed Care: The Last Bastion Of The HMO?" Health Affairs, March/April 2004; 23(2): 155-167.Download
Teresa A. Coughlin, Brian K. Bruen, and Jennifer King "States’ Use Of Medicaid UPL And DSH Financing Mechanisms" Health Affairs, March/April 2004; 23(2): 245-257.Download
Chang, Debbie, Alice Burton, John O'Brien, and Robert E. Hurley. Honesty As Good Policy: Evaluating Maryland's Medicaid Managed Care Program. The Milbank Quarterly, Vol. 81, No. 3, 2003.Download
Manatt, Phelps & Phillips, LLP. “Medicaid Managed Care in New York: A Public-Private Partnership That Works.” A report of the New York State Coalition of Prepaid Health Services Plans. December 2003Download
Hurley, Robert and Michael McCue, "Profiting from Proficiency: The Growing Importance of Medicaid-Focused Health Plans," Center for Health Care Strategies, November 2003Download
Shields AE, Comstock C, Finkelstein JA, and Weiss KB. “Comparing Asthma Care Provided to Medicaid-Enrolled Children in a Primary Care Case Manager Plan and a Staff Model HMO.” Ambulatory Pediatrics. Volume 3, Number 5. September – October 2003Download
The Alliance of Community Health Plans (ACHP) and the Association for Community Affiliated Plans (ACAP). Promoting Disease Prevention in Health Plans: Information Systems and Technology Assessment, October 2003. Download
Robert E. Hurley. Medicaid-Focused Health Plans: A Community Health Conspiracy, June 2003Download
United States Government Accountability Office. "Federal Oversight of Growing Medicaid Home and Community-Based Waivers Should Be Strengthened." June 2003Download
Debra A Draper and Marsha R Gold. "Provider risk sharing in Medicaid managed care plans" Health Affairs, May/June 2003; 22(3): 159-167Download
The Lewin Group. Extending the Federal Drug Rebate to Medicaid MCOs: Analysis of Impacts, May 2003Download
Smith V, Hamacher L. “The Good Olde Days of Fee-for-Service Were Not So Good After All: Managed Care Has Made Things Better.” Health Management Associates for the Association of Health Center Affiliated Health Plans. May 2003Download
Nancy Beronja, Joel Menges and Meg Murray. Comparison of Medicaid Pharmacy Costs and Usage between the Fee-for-Service and Capitated Settings, January 2003Download
Robert E Hurley and Stephen A Somers. "Medicaid and managed care: a lasting relationship?" Health Affairs, January/February 2003; 22(1): 77-88Download
Marsha Gold, Jessica Mittler, Debra Draper, and David Rousseau "Participation of plans and providers in Medicaid and SCHIP managed care. State Children's Health Insurance Program" Health Affairs, January/February 2003; 22(1): 230-240Download
John Holahan and Shinobu Suzuki "Medicaid managed care payment methods and capitation rates in 2001" Health Affairs, January/February 2003; 22(1): 204-218.Download
Schaller Anderson, Inc."Serving the Special Program/Aged, Blind, and Disabled Population through Managed Care" Center for Health Care Strategies, Inc. April 2002.Download
Suzanne Felt-Lisk, Rebecca Dodge, and Megan McHugh, "Trends in Health Plans Serving Medicaid: 2000 The Henry J. Kaiser Family Foundation, November 2001, Document No. PR01-83, 44 PagesDownload
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News

ACAP Report Featured in Managed HealthCare Executive 

The important role of Medicaid health plans in states where landmark healthcare reform efforts are under way is highlighted in a new report, Medicaid Health Plans: A Turnkey Solution for Expanding Health Insurance Coverage for the Uninsured. the Association for Community Affiliated Plans (ACAP), the report focuses on health plans in California and Massachusetts – two states breaking ground in expanding coverage to uninsured residents.

Managed HealthCare Executive Article