Health Reform, Year Seven: Observations About Medicaid Managed Care
نویسنده
چکیده
Over the last 7 years, State and Federal policymakers have reformed State medical assistance programs and, in the process, have grappled with goals of both containing program costs and expanding health insurance coverage to the uninsured. Currently, nearly one-quarter of all States have implemented health care reform demonstrations, and this article summarizes trends seen since health care reform began in the 1990s. As well as noting the accomplishments of health care reform through the use of Medicaid managed care, the article speculates, based on recent evidence, about new directions health care reform may take in the future.
منابع مشابه
Medicaid Payment and Delivery System Reform: Early Insights from 10 Medicaid Expansion States.
Issue Expanded Medicaid enrollment under the Affordable Care Act has heightened the importance of states’ roles as principal purchasers of health care for low-income and medically vulnerable populations. Concurrently, the federal government has augmented states’ purchasing tools. Goal To examine the evolution of payment and delivery system reform in 10 ACA Medicaid expansion states. Methods...
متن کاملManaged care and health care reform: everything old is new again.
A 1991 New York Times article reported that the “pioneering” state of Arizona, a “late starter in Medicaid,” had provided a health system model for the nation in the Arizona Health Care Cost Containment System (AHCCCS). At that time, AHCCCS was the only Medicaid program in the United States in which nearly all beneficiaries were enrolled in managed care organizations (MCOs) that were reimbursed...
متن کاملChanges in per member per month expenditures after implementation of Florida's Medicaid reform demonstration.
OBJECTIVE To determine the impact of Florida's Medicaid Reform Demonstration on per member per month (PMPM) Medicaid expenditures. DATA Florida Medicaid claims data from the two fiscal years before implementation of the Demonstration (FY0405, FY0506) and the first two fiscal years after implementation (FY0607, FY0708) from two reform counties and two nonreform counties. STUDY DESIGN A diffe...
متن کاملStates' embrace of managed mental health care.
Historically, state mental health authorities have dominated public mental health services, operating with fixed resources and responsible for a large population. A good public mental health system has many of the attributes of a well-managed private mental health system. Unfortunately, public systems are not flexible enough to contract creatively with multiple providers; they lack many of the ...
متن کاملManaged Care Mandates and Birth Outcomes: Who Benefits and Does the Model Matter
The 2010 health reform seeks to expand health coverage to 30 million people and many will enroll in managed care plans. We exploit Medicaid manage care mandates in California to examine the effect of managed care on prenatal care access and birth and pregnancy outcomes. There is no improvement for the extremely disadvantaged, but access and birth outcomes improves for the moderately disadvantag...
متن کامل