Evaluation of the Medicaid competition demonstrations.
In 1983, the Health Care Financing Administration funded a multiyear evaluation of Medicaid demonstrations in six States. The alternative delivery systems represented by the demonstrations contained a number of innovative features, most notably capitation, case management, limitations on provider choice, and provider competition. Implementation and operation issues as well as demonstration effects on utilization and cost of care, administrative costs, rate setting, biased selection, quality of care, and access and satisfaction were evaluated. Both primary and secondary data sources were used in the evaluation. This article contains an overview and summary of evaluation findings on the effects of the demonstrations.
D002140:California; D002204:Capitation Fee; D014487:Centers for Medicare and Medicaid Services, U.S.; D003258:Consumer Behavior; D003365:Costs and Cost Analysis; D005069:Evaluation Studies as Topic; D005431:Florida; D006302:Health Services Research; D008329:Managed Care Programs / Q000706:statistics & numerical data*; D008484:Medicaid / Q000458:organization & administration*; D008910:Minnesota; D008923:Missouri; D009515:New Jersey; D009518:New York; D011787:Quality of Health Care; D013223:Statistics as Topic; D014481:United States