Medicaid and S-CHIP

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California Medicaid Buy-In Program

Medicaid Managed Care Cost Savings: A Synthesis of Fourteen Studies

Medicaid Pharmacy Costs and Utilization: Fee-for-Service vs Managed Care

Opportunities and Observations for Indiana Medicaid

Study on Medicaid Upper Payment Limit Policies

Texas Disease Management Fee Reconciliation

Medicaid and S-CHIP

The Lewin Group helps state governments, providers, and managed care organizations in designing, building, operating, and monitoring innovative strategies to improve access, quality, and cost-effectiveness in the Medicaid and State Children's Health Insurance (S-CHIP) programs. The Lewin Group has provided Medicaid and S-CHIP consulting services for public and private clients in more than 40 states during the past decade. The Lewin Group also conducts cutting-edge research on the dynamic Medicaid program.

KEY SERVICES

Assisting states in designing, operating, and monitoring managed care programs for Medicaid and S-CHIP beneficiaries.
Developing strategies to promote access, quality, and coordination of care for special needs populations covered by Medicaid.
Providing strategic consulting to providers and managed care organizations seeking to serve state Medicaid programs on an at-risk basis.
Conducting actuarial and financial analyses to develop capitation rates and risk-sharing and reimbursement strategies.

SAMPLE PROJECTS

Performed extensive performance evaluations of state Medicaid programs on behalf of the state legislatures.
Assisted a state Medicaid program in improving its operations and preparing for its role as a managed care purchaser.
Supported a state commission in developing a blueprint for the state's S-CHIP program, including a proposed design for the program and estimates of enrollment and program costs.
Prepared a detailed cost estimate for providing continuous Medicaid eligibility to children.
Studied the impact of new Medicaid managed care regulations on states and MCOs.
Identified budget-neutral mechanisms to extend Medicaid coverage to uninsured persons infected with HIV.
Assessed the performance of a Web-based enrollment application for persons seeking Medicaid and S-CHIP coverage.
Created Medicaid disease management initiatives for Medicaid recipients with diabetes mellitus, AIDS, and hemophilia.

For more information on our specialized Medicaid and S-CHIP consulting services, please contact The Lewin Group.