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Publications

The Menges Group is regularly enlisted to conduct unbiased quantitative and qualitative analyses and prepare reports about topics of health policy interest.

Assessment of HealthChoices, Pennsylvania’s Medicaid Managed Care Program

In this report and its accompanying summary documents, we evaluate the Physical HealthChoices program's performance across areas such as quality outcomes, cost management, collaboration between Pennsylvania's Medicaid agency and the MCOs, community investments, provider partnerships, and initiatives addressing social determinants…
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Assessment of the Pharmacy Carve-In Model for Virginia’s Medicaid Program

This report explores the fiscal and programmatic impacts that a switch to a prescription drug carve-out model, where the pharmacy benefit would be managed under a single-payer system within Medicaid using the fee-for-service payment methodology, would have on Virginia’s Medicaid…
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Assessment of Washington State’s Medicaid Prescription Drug Management Performance and Policy Options

This report explores which prescription drug model is best suited for Washington’s Apple Health (Medicaid) program: the current carve-in prescription drug model, under which managed care organizations (MCOs) pay for members’ prescriptions, or a carve out model, where prescriptions are…
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