title: Medicaid enrollment choice into managed care health plans.
abstract: Rural Aid to Families with Dependent Children (AFDC) Medicaid recipients were surveyed to identify factors that influenced their enrollment choice between two managed care health plans and the traditional Medicaid free-for-service plan. Bivariate and logistic regression analyses provided evidence that the Medicaid institutional information structure directly influenced recipient decision to enroll in managed care plans. Current smokers were more likely to choose a managed care plan in this sample. There was no evidence that health status, health service use patterns, marital status, or ethnicity was related to the enrollment decision. Of those who chose the traditional Medicaid fee-for-service plan, 41 percent reported that they did not understand what managed care was.
authors.affiliation: Cornell University, USA.
authors.forename: L W
authors.initials: LW
authors.lastname: Morton
mesh_terms: D000328:Adult; D000385:Aid to Families with Dependent Children; D002648:Child; D002755:Choice Behavior; D003258:Consumer Behavior; D018588:Fee-for-Service Plans / Q000706:statistics & numerical data*; D019538:Health Care Surveys / Q000379:methods; D006302:Health Services Research / Q000379:methods; D006801:Humans; D016015:Logistic Models; D008329:Managed Care Programs / Q000706:statistics & numerical data*; D008484:Medicaid / Q000706:statistics & numerical data*; D008962:Models, Theoretical; D009042:Motivation; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D014481:United States