Mandated managed care for Medicaid recipients.
The need to control governmental health expenditures has led to experiments with mandated managed care for Medicaid recipients. Loss of freedom to choose care providers was considered a worthy sacrifice. The authors examine the historical and legislative background, including research and demonstration projects. Although they view some form of rationing as inevitable, they argue that Medicaid recipients should not be singled out to bear the main part of the burden.
Jolt
H
H
Department of Community Health, Long Island University, Brooklyn, NY, USA.
Leibovici
M M
MM
Lehrfeld
S
S
D003256:Community Participation / Q000331:legislation & jurisprudence*; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data; D006300:Health Services Misuse; D006302:Health Services Research; D007629:Kentucky; D008329:Managed Care Programs / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data*; D008484:Medicaid / Q000331:legislation & jurisprudence* / Q000458:organization & administration; D010865:Pilot Projects; D013221:State Health Plans / Q000331:legislation & jurisprudence*; D014481:United States; D014922:Wisconsin