Learning Objectives: At the conclusion of the session, participants will be able to: 1. Identify enrollment trends in Medicaid managed care programs; 2. Identify major organizational forms of managed care in a large number of states; 3. Describe successful and unsuccessful strategies employed by state Medicaid programs.
Objective: To develop an analytic and descriptive profile of Medicaid managed care programs in 14 states. Methods: In depth, information was collected from 14 states. Data was collected through in-person meetings, telephone conversations with key state Medicaid program employees, and from published and unpublished documents. Results: Medicaid managed care programs have had mixed enrollment and operational success across states. However, enrollment in Medicaid managed care has grown steadily since 1995 when 23% of the Medicaid population were enrolled in managed care, compared to 56% in 1999. There is variability among states in their approach to managed care. The variability is attributed to acceptance in the provider community, prior history of the state's Medicaid program, overall market penetration of managed care and the legal framework for managed care/insurance in the states. Conclusion: Medicaid managed care programs continue to increase as a percent of the Medicaid population. It is clear that a "one size fits all approach" to establishing managed care plans and options is not the approach taken by states. Various approaches to disease management, partnership-coalition building, geographic specific plans are among many efforts to improve access and quality of care for recipients.
Learning Objectives: At the conclusion of the session, participants will be able to: 1. Identify enrollement trends in Medicaid managed care programs; 2. Identify major organizational forms of managed care in a large number of states; 3. Describe successful and unsuccessful strategies employed by state Medicaid programs.
Keywords: Medicaid Managed Care, Access to Health Care
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
Disclosure not received
Relationship: Not Received.