Tracking Medicaid managed care in rural communities: a fifty-state follow-up.
This study updates a 1997 study examining implementation of rural Medicaid managed care programs. Most states operate Medicaid managed care programs for their beneficiaries, but the types of programs vary across urban and rural settings. Over the past four years the number of rural counties covered by Medicaid managed care, including fully capitated programs, has grown, although primary care case management (PCCM) remains the predominant program type in rural areas. Health plan withdrawals from rural areas have led some states with rural capitated programs to provide financial incentives or develop alternative approaches, such as enhanced PCCM programs.
Silberman
Pam
P
Cecil G. Sheps Center for Health Services Research, Chapel Hill, North Carolina, USA.
Poley
Stephanle
S
James
Kerry
K
Slifkin
Rebecca
R
D002017:Budgets / Q000331:legislation & jurisprudence; D005500:Follow-Up Studies; D019538:Health Care Surveys; D008329:Managed Care Programs / Q000458:organization & administration* / Q000706:statistics & numerical data; D008484:Medicaid / Q000458:organization & administration* / Q000706:statistics & numerical data; D009937:Organizational Objectives; D019035:Rural Health Services / Q000458:organization & administration* / Q000706:statistics & numerical data; D013221:State Health Plans / Q000191:economics / Q000458:organization & administration; D014481:United States