Medicaid managed care and community providers: new partnerships.
Growing enrollment in managed care plans among Medicaid recipients represents a new market for these plans but presents challenges to those providers that traditionally have served this population. To continue serving Medicaid patients, community-based providers must develop contracts or other types of partnerships with Medicaid-contracting health plans. This paper reviews the challenges to such collaboration and discusses the practical issues that plans and community-based providers must resolve to develop productive working relationships. Keys to successful collaboration are identified. Ways in which federal and state governments can help the collaborative process are suggested.
Lipson
D J
DJ
Alpha Center, Washington, DC, USA.
D000328:Adult; D000368:Aged; D003153:Community Health Services / Q000191:economics / Q000458:organization & administration*; D003284:Contract Services / Q000191:economics / Q000639:trends; D003363:Cost Control / Q000639:trends; D005260:Female; D005544:Forecasting; D006801:Humans; D007223:Infant; D008297:Male; D008329:Managed Care Programs / Q000191:economics* / Q000639:trends; D008484:Medicaid / Q000191:economics / Q000458:organization & administration*; D008489:Medical Indigency / Q000191:economics / Q000639:trends*; D009935:Organizational Affiliation; D011247:Pregnancy; D012946:Social Welfare / Q000191:economics; D014481:United States