Implementing Medicaid managed care: the New York City story.
Across the nation, public officials are encouraging or requiring Medicaid beneficiaries to enroll in managed care. In this article, we report on a study of the implementation of Medicaid managed care in New York City. Several findings are clear. First, government officials need to treat health plans as partners rather than adversaries; in New York, the relationship between the state and the plans is far too adversarial. Second, effective managed care requires good management information systems; New York officials are collecting an enormous amount of data but not much useful information. Third, effective implementation of Medicaid managed care is slow going; New York's effort to dramatically accelerate the enrollment process did not work.
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Joseph L. Mailman School of Public Health, Columbia University, New York, NY, USA.
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Kovner
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D006291:Health Policy; D006801:Humans; D008329:Managed Care Programs / Q000191:economics / Q000458:organization & administration / Q000706:statistics & numerical data*; D008331:Management Information Systems; D008389:Marketing of Health Services; D008484:Medicaid / Q000191:economics / Q000458:organization & administration* / Q000706:statistics & numerical data; D009519:New York City; D011057:Politics; D016730:Program Development; D011907:Rate Setting and Review / Q000639:trends; D014481:United States; D019037:Urban Health Services / Q000191:economics / Q000458:organization & administration* / Q000706:statistics & numerical data