title: Medicaid managed care and working-age beneficiaries with disabilities and chronic illnesses.
abstract: Even after a decade of study, there are still many questions about how working-age adults with disabilities or chronic illnesses are faring in Medicaid managed care. This article draws from recent research to examine two critical issues: the need for better outcome measures specific to this population and the importance of evaluations that accurately estimate program effects, despite continued policy change, considerable differences among States, and extreme population diversity. The authors outline a research agenda that will help policymakers develop a more precise sense of how managed care practices affect different subgroups of working-age adults with disabilities and chronic illnesses and how practices could be altered to improve Medicaid's ability to meet their needs.
authors.affiliation: Mathematica Policy Research, Inc., Suite 550, 600 Maryland Avenue, Washington, DC 20024-2512, USA. hireys@mathematica-mpr.com
authors.forename: Henry T
authors.initials: HT
authors.lastname: Ireys
authors.forename: Craig
authors.initials: C
authors.lastname: Thornton
authors.forename: Hunter
authors.initials: H
authors.lastname: McKay
mesh_terms: D000328:Adult; D002908:Chronic Disease / Q000191:economics / Q000628:therapy*; D006233:Persons with Disabilities; D017598:Efficiency, Organizational; D006291:Health Policy; D006302:Health Services Research; D006801:Humans; D008329:Managed Care Programs / Q000458:organization & administration* / Q000706:statistics & numerical data; D008484:Medicaid / Q000458:organization & administration*; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D011050:Policy Making; D013221:State Health Plans / Q000458:organization & administration*; D014481:United States