Contracting for Medicaid managed care.
State and Federal officials are turning to managed care to help control the costs of providing healthcare services to Medicaid recipients. However, most managed care plans and providers have little experience with this unique population. The socioeconomic profile, medical needs, healthcare utilization, and cost patterns of Medicaid recipients are very different from those of the commercial population. Managed care plans and providers that want to participate in Medicaid managed care programs must develop new approaches to providing benefits and developing capitation rates.
Davidson
H L
HL
Jennings Ryan & Kolb, Atlanta, GA, USA.
D002204:Capitation Fee; D003284:Contract Services / Q000191:economics / Q000458:organization & administration; D003363:Cost Control; D006801:Humans; D008329:Managed Care Programs / Q000191:economics* / Q000458:organization & administration; D008484:Medicaid / Q000458:organization & administration* / Q000706:statistics & numerical data; D017146:Models, Organizational; D018570:Risk Assessment; D012959:Socioeconomic Factors; D014481:United States