Medicaid and third-party liability: using information to achieve program goals.
With Medicaid programs in most States coming under ever-increasing fiscal pressures, the issue of third-party liability is receiving more attention and scrutiny. A relatively small investment in determining health insurance coverage can yield significant savings. In New York State's program, counties are compared and ranked to give a view of how well they are succeeding in identifying eligibles with third-party coverage. In addition, health insurance premiums are analyzed to determine if policies are cost effective. Other jurisdictions may benefit from this approach to program evaluation and enhancement.
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New York State Department of Social Services, Albany 12201.
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D004608:Eligibility Determination; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007349:Insurance, Health, Reimbursement; D008297:Male; D008331:Management Information Systems; D008484:Medicaid / Q000458:organization & administration*; D009518:New York; D013221:State Health Plans / Q000458:organization & administration*; D014481:United States