title: AIDS under a competitive Medicaid program in a "second wave" state: Arizona's experience.
abstract: Arizona is a "second wave" state, ranking twenty-first among states in a number of reported AIDS cases. Interviews with 50 administrators and providers were used to determine how Arizona's Medicaid program, the Arizona Health Care Cost Containment System (AHCCCS), has responded to the AIDS epidemic. AHCCCS is a unique Medicaid program in which care is provided by health plans selected through competitive bidding on capitated rates. Policies that foster price competition among health plans may impede a timely and appropriate response to the AIDS epidemic, unless they take the character of this epidemic into account.
authors.affiliation: School of Health Administration and Policy, College of Business, Arizona State University.
authors.forename: R G
authors.initials: RG
authors.lastname: Hughes
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000175:diagnosis / Q000191:economics* / Q000453:epidemiology; D001130:Arizona / Q000453:epidemiology; D003219:Confidentiality / Q000331:legislation & jurisprudence; D004465:Economic Competition; D006297:Health Services Accessibility; D006801:Humans; D007407:Interviews as Topic; D008484:Medicaid / Q000458:organization & administration*; D010821:Physicians, Family; D011320:Primary Health Care / Q000191:economics*; D012051:Reimbursement Mechanisms; D014481:United States