Medicaid Managed Care and Integrated Delivery Systems: TA to States and Strengthening Federal Oversight

Prepared For

U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services

Managed care has become the dominant delivery system in the Medicaid program; nearly 70 percent of the 80 million people enrolled in Medicaid in 2016 received some or all covered benefits through comprehensive managed care organizations.

More than half of state Medicaid agencies also operate other types of integrated delivery systems, such as health homes and accountable care organizations, to provide more coordinated and cost-effective services to people with complex care needs, such as chronic health conditions, serious mental illness, and substance use disorders.

This project works in partnership with the Center for Medicaid and CHIP Services (CMCS) within the Centers for Medicare & Medicaid Services (CMS), and state Medicaid agencies to strengthen and improve the design, operation, and oversight of Medicaid managed care (MMC) programs and integrated delivery systems. The project has a special focus on ensuring managed care organizations provide high quality, timely access to care for vulnerable groups of enrollees, including older adults, people with disabilities, and people with complex care needs.

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Related Staff

Jenna Libersky

Jenna Libersky

Principal Researcher

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Debra  Lipson

Debra Lipson

Senior Fellow

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