Participation of plans and providers in Medicaid and SCHIP managed care. State Children's Health Insurance Program.
For Medicaid and SCHIP managed care programs to succeed, they must attract enough and the right kinds of plans and providers to meet access and care goals. In 2001 we analyzed practices and perceptions that bear on these goals by surveying managed care plans participating in Medicaid or SCHIP, or both, in eleven states. Participating plans appear supportive of both programs and are largely able to secure providers to participate, too. To date, SCHIP has not attracted many plans not already participating in Medicaid. While perceptions were positive in 2001, maintaining current plan and provider relationships in an environment that has become much more budget constrained will be challenging.
Gold
Marsha
M
Mathematica Policy Research, USA.
Mittler
Jesslca
J
Draper
Debra
D
Rousseau
David
D
D002648:Child; D002662:Child Health Services / Q000191:economics*; D003284:Contract Services; D003625:Data Collection; D003659:Decision Making, Organizational; D006801:Humans; D008329:Managed Care Programs / Q000458:organization & administration* / Q000706:statistics & numerical data; D008484:Medicaid / Q000458:organization & administration* / Q000706:statistics & numerical data; D017008:Negotiating; D013221:State Health Plans / Q000458:organization & administration* / Q000706:statistics & numerical data; D014481:United States