Lessons from Arizona's Medicaid managed care program.

Utilization of Services in Arizona's Capitated Medicaid Program for Long-Term Care Beneficiaries

The Arizona Long-Term Care System (ALTCS), Arizona's Medicaid program for long-term care (LTC) beneficiaries, capitates contractors to provide a full range of acute and LTC services to financially-eligible beneficiaries determined to be at risk of institutionalization. This article compares the acute care utilization experience of LTC beneficiaries in ALTCS with those in a fee-for-service (FFS)...

Physician participation in Medicaid managed care.

Medicaid programs throughout the United States are moving away from fee-for-service medicine and increasingly towards managed care models in attempts to control rising health care costs. This study examines the participation of physicians in Arizona's prepaid, managed care Medicaid program, the Arizona Health Care Cost Containment System (AHCCCS). In particular, it considers the reasons that ph...

How Arizona Medicaid Accelerated the Integration of Physical and Behavioral Health Services.

ISSUE: In most states, one agency has responsibility for Medicaid enrollees' physical health services and at least one other agency has responsibility for their behavioral health services. Apportioning responsibility for the physical and behavioral health of Medicaid beneficiaries into different agencies inevitably leads to different--and sometimes misaligned--policy goals, program priorities, ...

Failed promises: the demise of the original TennCare vision.

Managed care was the intended foundation of Tennessee's Medicaid-replacement program (TennCare) when it was implemented in 1994. By the Summer of 2005, however, when the mandated disenrollment of approximately 200,000 adult TennCare beneficiaries commenced, it was obvious that the promise of managed care had not been realized. The program collapsed under the weight of mismanagement and unrealis...

Lessons learned from Medicaid managed care