Hurley, R. E., & Somers, S. A. (2003). Medicaid and managed care: A lasting relationship? Health Affairs, 22 (1), 77–88.See R. Hurley and S. Somers, "Medicaid and Managed Care: A Lasting Relationship?" Health Affairs (Jan/Feb 2003): 77-88; Draper et al., "The Changing ...
For states, the budget burdens precipitated by Medicaid call for innovative measures that result in true economic savings. Nearly all states are engaged in reforming their Medicaid organizations to meet the costs of increased financial responsibility. This article considers the issue of health care refo...
Background TennCare, beginning in January 1994, channeled all Medicaid-eligible patients into managed care while expanding Medicaid coverage to large numbers of previously uninsured patients. We assessed the impact of TennCare on (1) coronary revascularization of patients who had had an acute myocardia...
Managed behavioral health care: A Medicaid carve-out for youth. Analyzes the impact of behavioral health care services for the youth under Medicaid in North Carolina. Introduction of managed behavioral health care; Cost... Burns,Barbara,J.,... - 《Health Affairs》 被引量: 50发表: 1999年 ...
The article reflects on the need to expand full-risk managed care and manage long-term care to increase sustainability in the U.S. The author believes that Medicaid managed care has improved access for the most vulnerable, enhanced quality of care, and decelerated cost trends. Managed care can...
11 In this study, we examined performance on Healthcare Effectiveness Data and Information Set (formerly the Healthplan Employer Data and Information Set) (HEDIS) quality indicators in 3 types of managed care plans: Medicaid-only plans, commercial-only plans (health plans serving predominantly ...
New York advocates issue warning on Medicaid managed care plans.Examines concerns regarding the impact of the planned introduction of six special-needs plans (SNPs) on managed care plans in the state of New York. Provision of services to 60,000 people with the most serious mental and emotional...
To reach the CMS goal preventative care rates among children enrolled in Medicaid Managed Care plans, stakeholders must promote care access.
—Adults aged 18 to 64 years who received Medicaid insurance benefits through Aid to Families With Dependent Children or State Home Relief and had been enrolled in a managed care plan or receiving benefits under conventional Medicaid for at least 6 months. Of the 2500 enrollees in managed care ...
Accordingly, this research examines the quality of Medicaid managed care and the effect of MLR and efficiency. The results show that, medical services efficiency has an insignificant (but negative) effect on the quality of care, which indicates that there may be room to improve medical services ...