Quality oversight in medicaid primary care case management programs.

  title={Quality oversight in medicaid primary care case management programs.},
  author={Eric C. Schneider and Bruce E. Landon and Carol R. Tobias and Arnold M. Epstein},
  journal={Health affairs},
  volume={23 6},
As health maintenance organizations (HMOs) have curtailed participation in Medicaid, enrollment in primary care case management (PCCM) programs has grown. To examine state Medicaid agencies' monitoring of PCCM and HMO programs, we surveyed Medicaid agency directors of forty-six states and the District of Columbia. Agencies were less likely to collect performance data in PCCM programs than in HMO programs. Few PCCM programs reported performance results for the public or providers. Reporting… CONTINUE READING

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