Disability and Aging

Medicaid Managed Care: Background, Issues and Options


This Research & Policy brief was prepared for the Health Care Forum of the Policy Leaders Academy, a nonpartisan educational program for Maine Legislators.

The brief defines managed care, discusses state goals for and common models of managed care, and describes design decisions that state Medicaid agencies face.

Suggested citaion:

Fralich, J. T. (2011). Medicaid managed care: Background, issues, and options. Portland, ME: University of Southern Maine, Muskie School of Public Service

Publication Type: 
Research and Policy Brief
Publish Date: 
January 14, 2011

Dementia in Maine: Characteristics, Care, and Cost Across Settings [CHARTBOOK]


The World Health Organization and Alzheimer’s Disease International have recommended that dementia be considered a public health priority for all nations. The number of people with Alzheimer’s disease in Maine is expected to nearly double from about 26,000 persons in 2010 to nearly 50,000 by 2030. As the oldest state in the nation, Maine faces the impending impact of this disease on its social systems, community resources and its health and long term care systems.  In particular, service and use patterns highlighted in this report indicate that Maine’s long term care system is increasingly becoming a system of care for people with dementia.

This report provides a baseline picture of the current use of services by people with and without dementia in Maine. While this provides a comprehensive view of those accessing services through state funded home care programs or other MaineCare funded long term care services, it does not include the costs of informal care by caregivers, friends and family members. Nor does it include the out-of-pocket costs that many incur with private resources to care for a family member. We hope, however, that this information will be useful to those who are planning for the future of Maine’s long term care system and the needs of people with dementia and their families and caregivers.

Suggested Citation: Fralich J, Bratesman S, Olsen L, et al. Dementia in Maine: Characteristics, Care, and Cost Across Settings. Portland, ME: University of Southern Maine, Muskie School of Public Service; December, 2013.

For more information contact: Julie Fralich Julief@usm.maine.edu; 207-780-4848; Stuart Bratesman sbrates@usm.maine.edu; or  Louise Olsen louiseo@usm.maine.edu

This report was prepared under a Cooperative Agreement between the Muskie School of Public Service, University of Southern Maine and the Maine Department of Health and Human Services, Office of Aging and Disability Services.  This work was funded under Cooperative Agreement number CA-ES-13-251.

Publication Type: 
Publish Date: 
December 31, 2013

Health Policy Colloquia: Examining MaineCare’s Coverage Options Under the Affordable Care Act

Event Date and Time: 
Monday, April 8, 2013, 9:00 AM to 11:00 AM
USM Portland Campus, Wishcamper Center, Lee Community Hall (remote access available in Augusta and Orono)
Contact Name: 
Donna Reed
Contact Phone: 
(207) 780-4846
Contact Email: 





Under the Affordable Care Act, states may seek federal Medicaid funds to cover more low income people. States have been divided in their response. Join us for a conversation. What should Maine do?

What is a colloquia?

A colloquia is a series of community conversations in which experts, from various disciplines and perspectives, inform and engage the broader community to explore, discuss and debate critical issues in health policy. The Muskie School of Public Service is uniquely positioned to convene opinion leaders and researchers, policymakers and citizens to help enlighten and enliven Maine's health policy debate through a non-partisan and evidence based approach. Each colloquium will include presentations from outside experts followed by response from Mainers and a facilitated discussion among the group, with ample opportunity for audience engagement.


Joseph Antos, PhD., is the Wilson H. Taylor Scholar
in Health Care and Retirement Policy at American
Enterprise Institute.

Click here for the full bio and related articles

Sara Rosenbaum, J.D., is the Harold and Jane
Hirsh Professor of Health Law and Policy, George
Washington University School of Public Health and Health Services.

Click here for the full bio and related articles

Speakers will join a panel of Maine leaders who will react to the presentations and engage in a facilitated discussion about options and challenges confronting Maine and respond to audience questions.

Facilitator: Trish Riley, Muskie School Panel: Mary Mayhew, Commissioner, Maine DHHS; Dr. David Howes, President, Martins Point Health Care; and Sara Gagne-Holmes, Executive Director, Maine Equal Justice Partners.

Sponsored by the Muskie School of Public Service Board of Visitors



Disability and Aging Focus Areas

Community Living

We work with states to design, implement, and evaluate programs for adults with long term services and support (LTSS) needs residing in community settings.  We use our extensive qualitative and quantitative analytic capacity to produce in-depth profiles of states' long term service support systems and evaluate performance across programs.  Our work helps policymakers identify service gaps as well as opportunities for enhancing community-based services.

Work in this area includes:


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