title: "Second-generation" Medicaid managed care: can it deliver?
abstract: This article offers insight into what we term "second-generation" Medicaid managed care. In case studies of seven States, we examined three critical questions: (1) Does managed care experience facilitate program operations? (2) Can Medicaid managed care deliver on important goals? and (3) Can States extend the program beyond low-income families and children to others? The answers are encouraging but also suggest caution. Medicaid managed care is not a solution to fundamental problems facing the Medicaid program. It may be a tool to encourage better delivery of care. This requires a long-term commitment and adequate financing to develop stable partnerships with all stakeholders.
authors.affiliation: mgold@mathematica-mpr.com
authors.forename: M
authors.initials: M
authors.lastname: Gold
authors.forename: J
authors.initials: J
authors.lastname: Mittler
mesh_terms: D000368:Aged; D017046:Cost Savings; D004608:Eligibility Determination; D005260:Female; D006801:Humans; D008297:Male; D008329:Managed Care Programs / Q000458:organization & administration*; D008484:Medicaid / Q000458:organization & administration*; D019982:Organizational Case Studies; D009937:Organizational Objectives; D013221:State Health Plans / Q000458:organization & administration*; D014481:United States