This report synthesizes the key findings from the evaluation’s qualitative and quantitative analyses. The qualitative analysis highlights implementation issues and beneficiary perspectives identified and discussed in our year one and year two reports. This analysis is based on stakeholder interviews, document review, and information obtained in 10 focus groups conducted statewide in July 2013 to provide insights about beneficiary experiences and enrollees’ perceptions of changes to care under managed care. The quantitative component, which is based on claims and encounter data provided by the Kentucky Cabinet for Health and Family Services, assesses how service use and spending patterns changed between 2010 and 2013 for the Medicaid enrollees living in the counties that moved from fee-for-service to capitated managed care.