Primary care case management: lessons for Medicare?
This paper looks at primary care case management (PCCM) as a tool that states have used to manage the delivery of care to their Medicaid populations, an alternative to contracting with commercial managed care plans. PCCM has proved a flexible means of advancing state policy goals, including quality improvement, disease management, and coverage of special-needs populations. The paper considers provider and beneficiary perspectives on PCCM as well as state agency objectives and accomplishments. Finally, it raises the question of adapting the PCCM model for Medicare. Speakers at the accompanying Forum session will expand on these topics.
Sprague
L
L
D002017:Budgets / Q000331:legislation & jurisprudence; D019090:Case Management / Q000331:legislation & jurisprudence; D003695:Delivery of Health Care; D006801:Humans; D008329:Managed Care Programs; D008484:Medicaid; D011320:Primary Health Care; D019984:Quality Indicators, Health Care; D012051:Reimbursement Mechanisms; D012306:Risk; D013219:State Government; D014481:United States