A look at the purpose of managed care as it applies to those who use Medicaid.
Written in 2006; 2,854 words; 8 sources; MLA; $ 84.95
Paper Summary:
This paper examines evaluations of the use of managed care for the Medicaid population, the extent to which beneficiaries receive care from Medicaid and the quality management programs that state Medicaid agencies supported since 2002.
Outline
Introduction
The Quality of Medicaid Managed Care.
Service Use
Quality Concerns
A Positive Side
Conclusion
From the Paper:
"However, the Medicaid managed care program has yet to succeed in reducing costs or providing high-quality care because the program's beneficiaries have frequent disruptions in coverage (Haslanger, 2003). Approximately two-thirds of those who receive Medicaid and cash assistance retain their eligibility for an entire year, and just over 40 percent of those on Medicaid alone have one year of uninterrupted coverage. Even among managed care enrollees who manage to stay in a single plan for a year, more than a quarter of those ages 20 to 44 and nearly a fifth of those ages 45 to 64 do not go to a primary care visit. Most enrollees are eliminated due to administrative problems, rather than changes in their eligibility status. This high turnover, according to the report, "renders financial incentives for prevention and early detection fairly meaningless.""
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