3126.0: Monday, November 13, 2000: 2:30 PM-4:00 PM

Health Services Research Update Session: Health Reform and Medicaid Managed Care: Evidence of the Impact of Switch to Managed Care, Expansion of Coverage, and MCO Performance

Although 48 of the 50 states operate some type of Medicaid managed care program, the effects of these programs are largely unknown, primarily because most programs have only recently been implemented. This session will present findings from a landmark Health Care Financing Administration-sponsored Medicaid managed care evaluation in Hawaii, Oklahoma, Rhode Island, and Tennessee. The session will present findings on four central questions of the evaluations: (1) What has been the impact of the switch from a Medicaid fee-for-service system to a managed care program on utilization of services, costs, and quality of care? (2) How has coverage expansion under Medicaid managed care programs affected access to care for vulnerable populations? (3) How do managed care organizations differ with regard to access to care, the process of care, use of preventive services, and satisfaction with care? and (4) How have special-need populations fared in a Medicaid managed care program? Each of these presentations will be preceded by an overview of the policy context, its rationale, and objectives. In addition, a summary of the policy implications of the findings will follow each presentation. A synthesis of all the findings of the evaluation will provide the background for a discussion by the public. Judith Wooldridge, the director of the national evaluation of the health reform demonstrations, will introduce and discuss each of the presentations, while Penelope Pine of the Health Care Financing Administration will chair the panel
See individual abstracts for presenting author's disclosure statement.
Learning Objectives: Refer to the individual abstracts for learning objectives
Facilitator(s):Penelope L Pine
Organizer(s):Judith Wooldridge
2:30 PMDifferences in Enrollee Outcomes Among Medicaid Managed Care Organizations
Lorenzo Moreno, PhD, Sheila Hoag, MA
2:50 PMExpansion of Health Insurance Coverage in Hawaii and Tennessee
Sheila Hoag, MA, Lorenzo Moreno, PhD
3:10 PMImpact of the switch to managed care on the use of Medicaid services in Tennessee
Merrile Sing, PhD
3:30 PMPeople with disabilities’ experiences in TennCare
Steven C. Hill, PhD, Judith Wooldridge, MA
Sponsor:Medical Care
Cosponsors:Disability Forum; Health Administration; Women's Caucus

The 128th Annual Meeting of APHA