The datasets contain reimbursement rates paid to participating County Organized Health Systems, Geographic Managed Care, Regional, Senior Care Act (SCAN), Single Plan, and Two-Plan model counties as well as Program of All-Inclusive Care for the Elderly (PACE) organizations for calendar years 2021-2024.

This dataset displays reimbursement rates paid to Medi-Cal Managed Care health plans in Two-Plan model counties by State Fiscal Year. In Two-Plan model counties, the Department of Health Care Services (DHCS) contracts with a local initiative (county organized) and a commercial plan.

This dataset includes the number of newly eligible individuals enrolled in a Medi-Cal Managed Care County Organized Health System (COHS) Health Plans by reporting period. COHS is a Medi-Cal managed care health plan model that operates in 22 California counties. Each COHS is created by a county board of supervisors and governed by an independent commission. In COHS counties, a single plan serves all Medi-Cal beneficiaries enrolled in managed care. This dataset is part of public reporting requirements set forth by the California Welfare and Institutions Code 14102.5.

The Medicaid Managed Care dataset uses CMS' state Transformed Medicaid Statistical Information System (T-MSIS) data for Arizona, Michigan, Nevada, and New Mexico to identify various metrics for managed care plans within each state. These metrics are designed to allow users to compare plans in each state across different specialty areas (currently Pediatric Dental, Behavioral Health, and Prenatal OB/GYN). This dataset does not include all available data in T-MSIS but utilized a subset to calculate the individual metrics identified.

These files contain monthly data by county for Medi-Cal certified eligibles, by various demographics traits. The data is split out and not distributed as a single dataset for the purposes of de-identification.

Dataset.

The Medicaid Managed Care Enrollment Report profiles enrollment statistics on Medicaid managed care programs on a plan-specific level. The managed care enrollment statistics include enrollees receiving comprehensive benefits and limited benefits and are point-in-time counts. 1. Because Medicaid beneficiaries may be enrolled concurrently in more than one type of managed care program (e.g., a Comprehensive MCO and a BHO), users should not sum enrollment across all program types, since the total would count individuals more than once and, in some states, exceed the actual number of Medicaid enrollees. 2. Comprehensive MCOs cover acute, primary, and specialty medical care services; they may also cover behavioral health, long-term services and supports, and other benefits in some states. Limited benefit managed care programs, including PCCM, MLTSS only, BHO, Dental, Transportation, and Other cover a narrower set of services. 3. The “Total Medicaid Enrollees” column represents an unduplicated count of all beneficiaries in FFS and any type of managed care, including Medicaid-only and dually eligible individuals receiving full Medicaid benefits or Medicaid cost sharing. "--" indicates states that do not operate programs of a given type. 0 signifies that a state operated a program of this type in 2014, but it ended before July 1, 2014, or began after that date.

The CMS Program Statistics - Medicare Premium tables provide information on counts of Medicare Part A (Hospital Insurance) and Part B (Medical Insurance) total premium, standard base premium, reduced base premium, and penalty beneficiaries. In addition, these tables include premium amounts and penalty amounts. For the Part B premium tables, information on Income Related Monthly Adjustment Amount (IRMAA) beneficiaries, IRMAA amounts, Managed Care Reduction beneficiaries and Managed Care Reduction amounts are also included. For additional information on enrollment, providers, and Medicare use and payment, visit the CMS Program Statistics page. Below is the list of tables: MDCR PREMIUMS 1. Medicare Premiums: Medicare Part A Premium Beneficiaries and Amounts, Yearly Trend MDCR PREMIUMS 2. Medicare Premiums: Medicare Part A Premium Beneficiaries and Amounts by Demographic Characteristics and Medicare-Medicaid Enrollment Status MDCR PREMIUMS 3. Medicare Premiums: Medicare Part A Premium Beneficiaries and Amounts, by Area of Residence MDCR PREMIUMS 4. Medicare Premiums: Medicare Part B Premium Beneficiaries and Amounts, Yearly Trend MDCR PREMIUMS 5. Medicare Premiums: Medicare Part B Premium Beneficiaries and Amounts by Demographic Characteristics and Medicare-Medicaid Enrollment Status MDCR PREMIUMS 6. Medicare Premiums: Medicare Part B Premium Beneficiaries and Amounts, by Area of Residence