The federal State Innovation Model (SIM) initiative provided funding to states to design and test payment and delivery system reforms to improve care and lower costs in Medicare, Medicaid, and the Children’s Health Insurance Program. Through the initiative’s first ... more
The experience of states involved with Medicaid managed care programs continues to vary greatly. Some states have experienced considerable success with their managed care initiatives, as evidenced by a diverse and stable set of participating plans. Other states have exp... more
This Best Clinical and Administrative Practices (BCAP) toolkit reflects the experiences of the Improving Managed Care for Children with Special Needs workgroup -- 11 health plans and a primary care case management (PCCM) program that collaborated over 24 months to devel... more
The Improving Preventive Care Services for Children Toolkit provides a practical approach for increasing the quality of preventive care for children covered under Medicaid and SCHIP. It includes a simple process improvement model to consistently follow; strategies for i... more
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