Value-based formulas for purchasing. Pursuing value in Medicaid managed care: access to care and enrollee information management.
Medicaid and other publicly funded health coverage programs face special challenges in managed care purchasing. This article discusses two of those challenges based on the state of Minnesota's experience: how to develop, evaluate, and communicate access to care; and how to manage the transfer of enrollee eligibility and health status information.
Klein
J D
JD
Health Strategies Group, Inc., St. Paul, MN, USA.
Chase
J
J
D002391:Catchment Area, Health; D019058:Community Networks; D004465:Economic Competition; D004608:Eligibility Determination; D017754:Group Purchasing; D006264:Health Benefit Plans, Employee / Q000458:organization & administration; D006297:Health Services Accessibility / Q000458:organization & administration*; D006305:Health Status Indicators; D006786:Hospitals, Urban / Q000706:statistics & numerical data; D019451:Information Management / Q000379:methods*; D008329:Managed Care Programs / Q000191:economics* / Q000458:organization & administration / Q000706:statistics & numerical data; D008484:Medicaid / Q000458:organization & administration* / Q000706:statistics & numerical data; D008910:Minnesota; D014481:United States