Managed Medicare and Medicaid Factbook

Current Annual Edition, Book Only
Softbound: 360+ pages
ASIN B00006KMQX
ISBN 1-933801-17-4
AIS Health / Atlantic Information
(Click button below for the very best available price for this resource)

Current Annual Package Edition, Book and CD-ROM Set
Softbound: 360+ pages
ASIN B000UBDQM8
AIS Health / Atlantic Information
(Click button below for the very best available price for this packaged resource with book and CD-ROM)

Please note: When you purchase this publication, you will receive the most current year edition. It is published annually and your subscription will provide you with one copy of this most recent publication.

The completely updated Managed Medicare and Medicaid Factbook features a new chapter on the overhauled Medicare program, including new payment rates for Medicare Advantage plans (formerly known as Medicare + Choice HMOs). And it contains the first regulations that have been released by CMS to guide MCOs in participating in the revamped program.

It is more important than ever to have an up-to-date, reliable reference on Medicare and Medicaid programs — current players, costs, strategies, and results. This comprehensive book gives you one easy-to-use resource for critical success factors, evaluation checklists, summaries and samples of state Medicaid waivers, reimbursement and capitation rates, descriptions of health plan benefits, expert analysis of key business strategies, directories, and more. This book contains practical information such as:

The challenges and successes of the first year of implementation of the Medicare Part D prescription drug benefit.
The surge in national managed Medicare enrollment, and enrollment trends in Medicaid.
The new market entrants into managed Medicare.
Growth in the MA private fee-for-service (PFFS) option.
Managed care responses to the Medicare Part D prescription drug benefit and details on current drug benefit offerings.
New information on Special Needs Plans, including start-ups, implementation challenges and enrollment.
Which new companies are getting into Medicare and Medicaid managed care.
Which states are exploring or expanding their managed care initiatives and which states are faltering.
Updated Medicaid 1115 Waiver Program information.
Which Medicaid plans merged the previous, and which are seeking combinations in the coming year.
Which geographic markets are ripest for new players in the Medicare field.
What companies won new Medicaid managed care contracts in the previous year.
What cost-containment strategies Medicare plans tried in recently, and why they succeeded or failed.

Managed Medicare and Medicaid Factbook contains information on efforts to implement preferred drug lists and to combine Medicaid programs with other state programs for maximum drug purchasing clout. Other controversial legal issues addressed include eligibility requirements and drug rebates. With 10 information-packed chapters, Managed Medicare and Medicaid Factbook is updated fully each year, and is loaded with information that will help you capture market share despite the intense competition. This publication is purchased and read by:

Hospital managers and health system executives
Managers of HMOs and provider-sponsored plans
Group practice managers
Managers of IDSs
Insurance executives
Government health care officials
Benefit designers
Legislators
Pharmacy benefit managers

This resource fully covers these topics:

Managed Medicare Market Trends and Business Strategies

Market Moves and Strategies
Coverage Changes
Disease Management
MCO Strategies

Business Management Issues and Strategies
CMS Demonstrations
CMS Initiatives
Costs and Finances
Legal Issues
Reporting/Regulations

Managing Drug Costs

Medicare Managed Care Enrollment Trends

Medicare Prescription Drug, Improvement and Modernization Act

Summary of the Medicare Prescription Drug Benefit

MCO Response to the Medicare Reform Act

Discount Card Strategies of Potential Plan Sponsors

Medicare Advantage Rates

Managed Medicare Drug Benefit Comparison
Regional Managed Medicare Marketplace Data
Directory of Medicare Plans
Directory of Federal and Regional Medicare Regulators
Managed Medicaid Market Trends and Business Strategies

Market Moves and Strategies
Coverage Changes
Disease Management
MCO Strategies
Mergers and Acquisitions

Business Management Issues and Strategies
Costs and Finances
Legal Issues
Reporting/Regulations
State Initiatives

Managing Drug Costs

Medicaid Managed Care Enrollment Trends

States With Implemented Medicaid 1115 Waiver Programs
Directory of Medicaid Plans
Directory of State and Federal Medicaid Regulators

State Medicaid Directors

State Medicaid Pharmacy Directors

State Insurance Commissioners

State Health Officials

About the Packaged Edition with CD-ROM: For an additional price, you can order the convenient CD edition of Managed Medicare and Medicaid Factbook along with the printed book. The CD contains all of the information in the print edition and you’ll find what you need instantly with the user-friendly, searchable PDF format.

Atlantic Information Services, Inc. (AIS) is a publishing and information company that has been serving the health care industry for more than 15 years. It develops highly targeted news, data and strategic information for managers in hospitals, managed care plans, medical group practices, pharmaceutical companies and other health care organizations. AIS products include print and electronic newsletters, looseleafs, books, strategic reports, and databases. AIS is located in downtown Washington, D.C., three blocks from The White House.

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