managed careelderlydual eligiblescase managementcapitationintegrationdemonstrationsThe bifurcation of responsibility for caring for dual eligibles has helped create a fragmented service delivery system, fraught with administrative inefficiencies, barriers to more effective care, and incentives to shift costs. To ...
This paper uses data from the 1997 National Survey of America's Families to examine the effects of the various forms of mandatory Medicaid managed care on access and use among beneficiaries not receiving Supplemental Security Income or Medicare benefits. The results show that mandatory health maintena...
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 ...
The case shows how a state Medicaid agency attempted to alleviate the financial burdens of that mandate by extending its philosophy of managed competition through the use of negotiated and competitive managed care contracts for organ transplantations. The agency expected to achieve significant cost ...
Qualifying for Medicaid and Home Care Waivers Medicaid eligibility is determined by each state separately. Within the state there are usually different requirements for institutional vs. regular Medicaid. A rule of thumb for institutional Medicaid (and Medicaid Waivers) is that the applicant is permitte...
In recent years, states have increasingly turned to managed care arrangements for financing and delivering health services to Medicaid beneficiaries. In 1996, approximately 40% of all Medicaid recipients were enrolled in some form of managed care. The rapid escalation of managed care in this populatio...
and advanced practice nurses (APNs) that are expected to occur if managed competition is used to restructure the economic activity of the health care ... Buerhaus,I Peter - 《Nursing Economic》 被引量: 22发表: 1994年 Improving ICT Governance: A Radical Restructure Using CobiT and ITIL Acting...
That’s the dilemma states are facing as they put more Medicaid patients into managed-care plans to cut costs. Bloomberg Government health-care policy analyst Christopher Flavelle looked at managed-care plans in the five most populous states, including New York and California. His Bloomberg ...
(2012). "Medicaid managed care: Costs, access, and quality of care". Robert Woods Johnson Foundation.. September. Accessed January 10, 2017. http://www.rwjf.org/content/dam/farm/reports/reports/2012/rwjf401106.Sparer, Michael. 2012. "Medicaid Managed Care: Costs, Access, and Quality of ...
ContextIn contrast to the commercially insured population, the proportion of Medicaid beneficiaries enrolling in health maintenance organizations