The evolution of quality management in Medicaid managed care.

  title={The evolution of quality management in Medicaid managed care.},
  author={Bruce E. Landon and Eric C. Schneider and Carol R. Tobias and Arnold M. Epstein},
  journal={Health affairs},
  volume={23 4},
Since the early 1990s almost all states have moved some or all of their Medicaid beneficiaries to Medicaid managed care (MMC). Critics have worried about quality since MMC's inception. Proponents argued that state Medicaid agencies, as large-scale purchasers of care, would pursue "value-based purchasing" and other strategies to stimulate quality improvements. In this paper we extend and update previous evaluations of the use of managed care for the Medicaid population, the extent to which… CONTINUE READING

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