Community participation in New York City: success or failure?
This paper describes the planning efforts of a community agency that was ultimately unsuccessful in converting two primary care centers from the traditional fee-for-service Medicaid reimbursement system to a per-capita prepaid Medicaid reimbursement system. We analyze how the community agency prepared its plan, the barriers it encountered in trying to implement a demonstration project, the ambiguous messages community organizations receive from policy-makers, and the role the Mount Sinai School of Medicine played in the conversion effort.
Bosch
S J
SJ
Department of Community Medicine, Mount Sinai School of Medicine, New York, NY 10029.
Merino
R
R
Rose
D N
DN
Julius
N
N
D003151:Community Health Centers; D006279:Health Maintenance Organizations; D008484:Medicaid; D008913:Minority Groups; D009519:New York City; D011320:Primary Health Care / Q000458:organization & administration*; D012959:Socioeconomic Factors; D014837:Voluntary Health Agencies / Q000458:organization & administration*