3126.0: Monday, November 13, 2000: 2:30 PM-4:00 PM | ||||
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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 | ||||
Penelope L Pine | ||||
Judith Wooldridge | ||||
Differences in Enrollee Outcomes Among Medicaid Managed Care Organizations Lorenzo Moreno, PhD, Sheila Hoag, MA | ||||
Expansion of Health Insurance Coverage in Hawaii and Tennessee Sheila Hoag, MA, Lorenzo Moreno, PhD | ||||
Impact of the switch to managed care on the use of Medicaid services in Tennessee Merrile Sing, PhD | ||||
People with disabilities’ experiences in TennCare Steven C. Hill, PhD, Judith Wooldridge, MA | ||||
Sponsor: | Medical Care | |||
Cosponsors: | Disability Forum; Health Administration; Women's Caucus |