title: STAR+PLUS: changing the face of long-term care in Texas.
abstract: After spending three years developing its project and getting the necessary waiver approvals, the Texas state Medicaid agency launched the STAR (State of Texas Access Reform) +PLUS pilot project in January 1998, with approximately 50,000 Medicaid beneficiaries enrolled in three HMOs in Harris County (Houston). Negotiated capitated contracts with each of them guaranteed at least a six percent savings compared to projected fee-for-service costs for dual eligibles and the disabled. But did it?
authors.affiliation: Texas Association for Home Care, USA.
authors.forename: Heather
authors.initials: H
authors.lastname: Vasek
mesh_terms: D002204:Capitation Fee; D006279:Health Maintenance Organizations / Q000458:organization & administration*; D006801:Humans; D008134:Long-Term Care / Q000458:organization & administration*; D008484:Medicaid / Q000458:organization & administration*; D009937:Organizational Objectives; D013221:State Health Plans / Q000191:economics / Q000458:organization & administration*; D013781:Texas; D014481:United States