title: Participation of plans and providers in Medicaid and SCHIP managed care. State Children's Health Insurance Program.
abstract: 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.
authors.affiliation: Mathematica Policy Research, USA.
authors.forename: Marsha
authors.initials: M
authors.lastname: Gold
authors.forename: Jesslca
authors.initials: J
authors.lastname: Mittler
authors.forename: Debra
authors.initials: D
authors.lastname: Draper
authors.forename: David
authors.initials: D
authors.lastname: Rousseau
mesh_terms: 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