• Corpus ID: 5952086

Medicaid managed care : Costs , access , and quality of care

@inproceedings{SparerMedicaidMC,
  title={Medicaid managed care : Costs , access , and quality of care},
  author={Michael S. Sparer}
}

Figures from this paper

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Usability of encounter data for Medicaid comprehensive managed care vs traditional Medicaid fee‐for‐service claims among pregnant women
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The impact of Medicaid managed care on hospitalizations for ambulatory care sensitive conditions.
TLDR
The 33 percent lower rate of hospitalizations for ambulatory care sensitive conditions found in mandatory managed care compared with fee-for-service suggests that Medicaid managed care is associated with a large reduction in hospital utilization, which likely reflects health benefits.
Desperately seeking savings: states shift more Medicaid enrollees to managed care.
TLDR
This book is published monthly by Project HOPE at 7500 Old Georgetown Road, Suite 600, Health Affairs with permission from the Publisher.
Implementation of mandatory Medicaid managed care in Missouri: impacts for pregnant women.
TLDR
Although women experienced significant improvements statewide in prenatal care under Medicaid, improvements were smaller for managed care counties, which may have a positive impact on smoking cessation, but other policy changes may be needed to improve birth outcomes.
A cost analysis of the Iowa Medicaid primary care case management program.
TLDR
Use of a Medicaid PCCM program was associated with substantial aggregate cost savings over an 8-year period, and this effect became stronger over time.
Effects of Tennessee Medicaid Managed Care on Obstetrical Care and Birth Outcomes
A comparative study was conducted in two neighboring states, Tennessee and North Carolina, to determine whether Medicaid managed care (implemented in Tennessee as TennCare) affected prenatal care,
Evaluation of Medicaid managed care. Satisfaction, access, and use.
OBJECTIVE To evaluate the effects of managed care on Medicaid beneficiaries' satisfaction with, access to, and use of medical care during early implementation of an enrollment initiative. DESIGN
The Impact of Medicaid Managed Care on Primary Care Physician Participation in Medicaid
TLDR
This study failed to find that increases in Medicaid managed care lead to increased primary care physician participation in Medicaid during the period 1996–2001.
National Estimates of the Effects of Mandatory Medicaid Managed Care Programs on Health Care Access and Use, 1997–1999
TLDR
The effects of Medicaid managed care vary with the type of program, and policy makers should not expect programs that rely on PCCMs to have the same effects as those that incorporate mandatory HMO enrollment.
Medicaid Managed Care and Cost Containment in the Adult Disabled Population
TLDR
Medicaid MCO programs as implemented are not associated with lower Medicaid spending; thus, state Medicaid programs should consider additional policy tools to contain health care expenditures in this population.
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