Brief Analyses

Reforming Michigan’s Medicaid Drug Program

Michigan is moving to cover Medicaid enrollees in privately-administered managed care plans. The state should also continue to move enrollees to managed drug plans. Virtually all state Medicaid programs distribute some drugs on a fee-for-service (FFS) basis separately from any health plan. Nearly half of the states carve out and administer drug benefits separately, distributing all Medicaid drugs this way.

Brief Analyses

Reforming Florida’s Medicaid Drug Program

Florida is moving aggressively to cover Medicaid enrollees in privately-administered managed care plans. The state should also continue to move enrollees to managed drug plans. Virtually all state Medicaid programs distribute some drugs on a fee-for-service (FFS) basis separately from any health plan.

Issue Briefs

Reforming Pennsylvania’s Medicaid Drug Program

In order to reduce rising health care costs, many states are forging ahead with plans to move Medicaid enrollees into managed care plans. Pennsylvania has been more aggressive than most states, enrolling more than 80 percent of Medicaid participants in managed care.1 Pennsylvania is also integrating Medicaid drug benefits with enrollees’ health plans rather than carving out drug benefits and administering them separately on a fee-for-service basis.