Medicaid managed care in New York City: recent performance and coming challenges.
OBJECTIVE
This study evaluated New York City's voluntary Medicaid managed care program in terms of health care use and access.


METHODS
A survey of adults in Medicaid managed care and fee-for-service programs during 1996-1997 was analyzed.


RESULTS
Responses showed significant favorable risk selection into managed care but little difference in use of health care services. Although some measures of access favored managed care, many others showed no difference between the study groups.


CONCLUSIONS
The early impact of mandatory enrollment will probably include an increase in the average risk of managed care enrollees with little change in beneficiary use and access to care.
United Hospital Fund, Empire State Building, 350 Fifth Ave, 23rd Floor, New York, NY 10118-2399, USA. ddelia@uhfnyc.org
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Sandman
D000293:Adolescent; D000328:Adult; D003625:Data Collection; D018588:Fee-for-Service Plans; D005260:Female; D006296:Health Services / Q000706:statistics & numerical data; D006297:Health Services Accessibility; D006304:Health Status; D006801:Humans; D015273:Insurance Selection Bias; D008297:Male; D008329:Managed Care Programs; D008484:Medicaid; D008875:Middle Aged; D009519:New York City; D012959:Socioeconomic Factors; D014481:United States