Provider risk sharing in Medicaid managed care plans.
Provider risk sharing was common throughout the 1990s. Recent evidence suggests waning interest, although no information exists that is specific to Medicaid. This paper examines risk-sharing arrangements in Medicaid managed care through a survey of participating plans in eleven states conducted during 2001. Risk sharing is prevalent among Medicaid-participating plans and often involves traditional providers. The "flight from risk" that others describe is not yet apparent in Medicaid, but Medicaid's idiosyncrasies might mean that trends appearing in other lines of business do not apply.
Draper
Debra A
DA
Mathematica Policy Research, Washington, DC, USA.
Gold
Marsha R
MR
D006801:Humans; D008329:Managed Care Programs / Q000191:economics* / Q000639:trends; D008484:Medicaid / Q000191:economics* / Q000639:trends; D011203:Poverty; D020414:Risk Sharing, Financial / Q000458:organization & administration / Q000706:statistics & numerical data* / Q000639:trends; D013221:State Health Plans / Q000191:economics* / Q000639:trends; D014481:United States