منابع مشابه
Perils of Pioneering: Monitoring Medicaid Managed Care
This article reviews Federal and State oversight of section 1115 Medicaid managed care demonstrations in Hawaii, Oklahoma, Rhode Island, and Tennessee from 1994 to 1998. Under Medicaid managed care, the Federal Government and States have had to shift their focus and resources into oversight functions that barely existed in fee-for-service (FFS) Medicaid. We find that managed care monitoring was...
متن کاملLegislating Medicaid: Considering Medicaid and Its Origins
Medicaid, passed 40 years ago with Medicare, had roots in the decades-long public assistance programs which preceded it. These roots are still evident today. This article explores the origin and passage of the Medicaid Program in 1965, describes key statutory provisions, and reflects on the resulting strengths and weaknesses of the program today.
متن کاملAppointment keeping behavior of Medicaid vs non-Medicaid orthodontic patients.
INTRODUCTION State Medicaid programs were established to care for the poor by eliminating financial barriers that otherwise prevent them from being treated in the mainstream health care system. The number of children eligible for Medicaid services is increasing, yet the number of Medicaid providers remains low. Health care providers cited failed appointments as a major problem with Medicaid pat...
متن کاملMedicaid Drugs
The following commentary unites a collection of articles primarily concerned with prescription drug issues in Medicaid. It also features highlights from a piece outlining Australia's pharmaceutical delivery system. Specifically, in this issue, you will find comprehensive analyses of drug expenditure trends, issues regarding access to pharmaceuticals in Medicaid, and an evaluation of ongoing gen...
متن کاملReconciling Practice and Theory: Challenges in Monitoring Medicaid Managed-Care Quality
The massive shift to managed care in many State Medicaid programs heightens the importance of identifying effective approaches to promote and oversee quality in plans serving Medicaid enrollees. This article reviews operational issues and lessons from the ongoing evaluation of a three-State demonstration of the Health Care Financing Administration's (HCFA) Quality Assurance Reform Initiative (Q...
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ژورنال
عنوان ژورنال: American Journal of Public Health
سال: 1980
ISSN: 0090-0036,1541-0048
DOI: 10.2105/ajph.70.8.775