Using Insurance Standards and Policy Levers to Build a High Performance Health System

Analyzes Rhode Island's use of state health insurance regulatory authority to promote healthcare reform, including improved accessibility, quality, and affordability. Outlines the rationale for and process of developing standards and the expected impact

Assessing the Financial Health of Medicaid Managed Care Plans and the Quality of Patient Care They Provide

Examines the administrative and medical expenses, quality of care, and financial stability of publicly traded health plans contracted to manage the care of Medicaid beneficiaries by plan characteristics and compared with non-publicly traded plans

Pay-for-Performance in the Medi-Cal Managed Care and Healthy Families Programs: Findings and Recommendations

Assesses the feasibility and efficacy of pay-for-performance systems in raising care quality in state health insurance programs. Offers guidance on objectives, measures, incentives and rewards, program design, stakeholders' concerns, and sustainability