Since the mid-1990s, many Medicaid programs have aggressively introduced managed care, which reconfigures service delivery using business principles. Most states have insufficient experience in developing managed care plans for Medicaid beneficiaries with disabilities. Middle-aged adults with physical ...
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...
“Medicaid managed care plans collaborate with their state partners to deliver successful public private partnerships uniquely tailored to meet the needs of each individual state and the populations that are served by that state’s Medicaid program, proving that when the public and priv...
For more than 20 years, state and federal policy-makers have promoted Medicaid managed care as a way to improve access to good quality care for the Medicaid beneficiary, while at the same time containing (or at least stabilizing) costs. Capitated health plans would reduce relianceon expensive ...
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 ...
can access information about Medicaid and CHIP eligibility and managed care, compare managed care plans based on quality, and select plans that best meet their needs. The rule also established the CMS framework, state requirements for the MAC QRS, and the process by which...
—To evaluate the effects of managed care on Medicaid beneficiaries' satisfaction with, access to, and use of medical care during early implementation of an enrollment initiative. Design. —Cross-sectional survey of a random sample of Medicaid beneficiaries in 5 managed care plans and in the conve...
Managed Care, Medicaid and the Elderly: The Minnesota Experience. Report 4 in aSeries of State Case StudiesMedicaidManaged careElderly personsMinnesotaEligibilityOutreachBenefitsRecruitmentRate settingCapitation;Contents: Summary; Background (Acute Care, Long-Term Care); The Prepaid MedicalAssistance Program...
4.For instance, there are still no New York State managed care plans with a lactation consultant in their directory, which is a disgrace. 5.The state then switched to the traditional Medicaid model by putting enrollees under the 138% poverty level in Medicaid managed care, allowing the private...
are enrolling children with special needs, as defined by the Balanced Budget Act (BBA), in capitated managed care plans; and (2) scope and effectiveness of the safeguards states are implementing to ensure that children with special needs receive appropriate care within Medicaid managed care."关键...