The Medicaid managed care policy consensus for welfare recipients: a reflection of traditional welfare concerns.
An Aid to Families with Dependent Children (AFDC)-Medicaid managed care policy consensus has emerged in the American states. Although there are two main organizational forms--primary care case management and risk-based capitation models--states are converging on the risk-based approach for their AFDC recipients. Risk-based Medicaid managed care for AFDC recipients assumes a distinct purpose and meaning. The reform is not just about cost control and improving access but about enduring welfare concerns: deservingness, need, and empowerment. Despite recent federal policies that have essentially severed the eligibility link between AFDC and Medicaid, state policy elites still conceive of poor families on Medicaid as a "welfare" group. Assumptions about the need for behavior modification and the need to integrate this group into "mainstream" America shape perceptions about why Medicaid managed care is appropriate for AFDC-Medicaid recipients.
Grogan
C M
CM
Yale University, USA.
D000385:Aid to Families with Dependent Children / Q000458:organization & administration*; D032763:Behavior Control; D032982:Contracts; D006291:Health Policy; D006801:Humans; D008329:Managed Care Programs; D037141:Mandatory Programs; D008484:Medicaid / Q000458:organization & administration*; D017146:Models, Organizational; D011050:Policy Making; D012922:Social Change; D012941:Social Responsibility; D012945:Social Values; D013221:State Health Plans / Q000458:organization & administration / Q000639:trends*; D014481:United States