Mandated managed care programs for medicaid recipients

1994 ◽  
Vol 19 (3) ◽  
pp. 151-152
Author(s):  
Harvey Jolt
Keyword(s):  
Managed Care ◽  
Managed Care Programs

scholarly journals Medicaid Managed Care's Effects on Costs, Access, and Quality: An Update

2020 ◽  
Vol 41 (1) ◽  
pp. 537-549
Author(s):  
Daniela Franco Montoya ◽  
Puneet Kaur Chehal ◽  
E. Kathleen Adams
Keyword(s):  
High Risk ◽  
Managed Care ◽  
Health Maintenance Organization ◽  
Cost Savings ◽  
High Risk Population ◽  
Medicaid Managed Care ◽  
Term Care ◽  
Health Maintenance ◽  
Managed Care Programs ◽  
Access And Quality

Medicaid is integral to public health because it insures one in five Americans and half of the nation's births. Nearly two-thirds of all Medicaid recipients are currently enrolled in a health maintenance organization (HMO). Proponents of HMOs argue that they can lower costs while maintaining access and quality. We critically reviewed 32 studies on Medicaid managed care (2011–2019). Authors reported state-specific cost savings and instances of increased access or quality with implementation or redesign of Medicaid managed-care programs. Studies on high-risk populations (e.g., disabled) found improvements in quality specific to a state or a high-risk population. A unique model of managed care (i.e., the Oregon Health Plan) was associated with reduced costs and improved access and quality, but results varied by comparison state. New trends in the literature focused on analysis of auto-assignment algorithms, provider networks, and plan quality. More analysis of costs jointly with access/quality is needed, as is research on managing long-term care among elderly and disabled Medicaid recipients.

Managed Care Administrators' Opinion of Vocational Reahbilitation Services

1996 ◽  
Vol 27 (1) ◽  
pp. 42-44
Author(s):  
Reginald L. Gibbs ◽  
John M. Dodd ◽  
Anton Hecimovic ◽  
Elia Nickoloff
Keyword(s):  
Health Care ◽  
Managed Care ◽  
Vocational Rehabilitation ◽  
The United States ◽  
Rehabilitation Services ◽  
Short Term ◽  
Managed Care Programs ◽  
Vocational Rehabilitation Services ◽  
Managed Care Organizations

Rising health care insurance premiums have forced many businesses and institutions to examine cost-cutting measures to lower health care costs. Managed care is one measure that has become widespread throughout the United States. The problem was to learn how managed care administrators view the role and purpose of vocational rehabilitation services in their organizations and if these services will lower short-term and long-term use. A survey was sent to the administrators of fifty managed care organizations in the states of Arizona, Colorado, Oregon, and Washington. Twenty of the fifty administrators responded to the survey. Results show that only one of the managed care organizations offered vocational rehabilitation services to their enrollees. The results also show that three responded that short-term use and ten responded that long-term use of managed care programs would be reduced if vocational rehabilitation services were offered.

Linking postdoctoral general dentistry programs with managed care programs and settings

1998 ◽  
Vol 62 (8) ◽  
pp. 599-608
Author(s):  
RG Weaver ◽  
CF Gray ◽  
GA Colangelo ◽  
GA Ferretti ◽  
JF Galbally ◽  
...  
Keyword(s):  
Managed Care ◽  
Managed Care Programs
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