Evolution of Medicaid Managed Care Systems and Eligibility Expansions
نویسندگان
چکیده
The States of Tennessee, Hawaii, Rhode Island, Oklahoma, and Maryland initiated section 1115 demonstration projects to reform their State Medicaid programs, fea turing large expansions of Medicaid managed care. The projects were controversial and chaotic in the beginning but have matured with time. Survey data indicate that Tennessee’s expansion reduced unin surance rates among low-income persons. States must periodically assess the adequa cy of capitation rates to ensure that enough plans participate. States and plans gradu ally developed their quality assurance sys tems but still need improvement.
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عنوان ژورنال:
دوره 22 شماره
صفحات -
تاریخ انتشار 2000