Managed health care for Medicaid enrollees: the Philadelphia model.
HealthPASS, a program of capitated managed care for 82,000 Medicaid enrollees in a defined geographic area of Philadelphia, Pennsylvania, is administered by Healthcare Management Alternatives, Inc. (HMA), a minority-owned corporation, under a multiyear contract with the Commonwealth of Pennsylvania. HMA has striven to improve care to this low-income community by mounting innovative campaigns to encourage early access to health care, ongoing health education, and aggressive outreach and follow-up, in addition to specific projects designed to reduce infant mortality, expand Head Start, and bolster pediatric care. The program has been judged independently to provide high-quality service cost-effectively.
Henley
A J
AJ
Healthcare Management Alternatives, Inc., Philadelphia, PA 10139.
Clifford
M C
MC
D000328:Adult; D002648:Child; D003362:Cost-Benefit Analysis / Q000331:legislation & jurisprudence; D005260:Female; D006297:Health Services Accessibility / Q000191:economics / Q000331:legislation & jurisprudence; D006801:Humans; D007231:Infant, Newborn; D008329:Managed Care Programs / Q000191:economics / Q000458:organization & administration*; D008430:Maternal-Child Health Centers / Q000191:economics / Q000331:legislation & jurisprudence; D008484:Medicaid / Q000191:economics / Q000458:organization & administration*; D008489:Medical Indigency / Q000191:economics / Q000331:legislation & jurisprudence*; D017057:Medically Uninsured / Q000331:legislation & jurisprudence*; D017146:Models, Organizational; D015143:Philadelphia; D011247:Pregnancy; D011314:Preventive Health Services / Q000191:economics / Q000331:legislation & jurisprudence; D014481:United States; D014504:Urban Health