Managed Medicare and Medicaid Factbook

Current Edition: 2008
Softbound: 600+ pages
ASIN 1933801379
I978-1933801377
AIS Health / Atlantic Information
(Click button below for the very best available price for this resource)

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

Enrollment Trends

MA Expansion

Regional Managed Medicare Offerings

Business Management Issues and Strategies

MA Financial Challenges and Successes

Marketing MA Plans

Mergers and Acquisitions

MA Plans and Programs
- Business Trends, Strategies and Challenges
- MA Plans Financial Reports
- MA Regional Plans
Medicare Managed Care Enrollment Trends and Market Share Data
- Medicare Managed Care Enrollment Trends
- Managed Medicare Market Share
Special Needs Plans
- SNP Enrollment Trends
- SNP Expansion
- Strategies, Challenges and Results
- CMS Initiatives and Federal Legislation
- List of SNPs, by State

Medicare Prescription Drug, Improvement and Modernization Act

CMS Guidance and Compliance

Part D Benefit Parameters Updated

Enrollment Trends and Data

Administrative Issues and Challenges

Part D Strategies, Trends and Results

Prescription Drug Data

Directory of PDPs Sorted by Parent Organization

Federal Challenges, Initiatives and Legislation
- 2008 Payment Rates for MA Plans
- Federal Legislation on MA Budget Issues
- Oversight of Private Fee-for-Service Plans
- CMS Initiatives and Enforcement
Regional Managed Medicare Marketplace Data
MA Plan Directory
- MA, Cost, PACE and Demonstration Plans Enrollment, by Parent Organization
Directory of Federal and Regional Medicare Regulators
Managed Medicaid Market Trends and Business Strategies
- Market Moves and Strategies
- State Initiatives
- States with Implemented Medicaid 1115 Wavier Programs
- Business Management Issues and Strategies
- Financial Challenges and Results
- Medicaid Plan Strategies for Success
Managed Medicaid Enrollment and Market Share Data
- Managed Medicaid Enrollment
- Managed Medicaid Market Share Data
AIS's 2007 Survey of Medicaid Pharmacy Directors
Directory of Medicaid Plans with Applicable Annual Enrollment
Directories of State Medicaid Regulators
- State Medicaid Directors
- State Medicaid Pharmacy Directors
- State Health Officials

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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