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Medicaid managed care

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Journal Article
Journal of Health Politics, Policy and Law (1 August 2007) 32 (4): 685–731.
Published: 01 August 2007
...Etienne E. Pracht The objective of this article is to understand the political motivations underlying Medicaid managed care reforms by examining the determinants of enrollment of beneficiaries in managed care plans in the fifty states. To highlight the role of the model variables, including...
Journal Article
Journal of Health Politics, Policy and Law (1 December 2001) 26 (6): 1291–1324.
Published: 01 December 2001
...Christopher J. Conover; Peter J. Rankin; Frank A. Sloan A comparative study was conducted in two neighboring states, Tennessee and North Carolina, to determine whether Medicaid managed care (implemented in Tennessee as TennCare) affected prenatal care, care patterns at labor-delivery, and birth...
Journal Article
Journal of Health Politics, Policy and Law (1 October 1997) 22 (5): 1191–1214.
Published: 01 October 1997
...Sara Rosenbaum; Peter W. Shin; Alice Mauskopf; Ann Zuvekas Family planning services represent one of the most common managed care services, particularly in the case of Medicaid. In 1986, Congress enacted legislation exempting family planning services from mandatory managed care requirements. The...
Journal Article
Journal of Health Politics, Policy and Law (1 February 2009) 34 (1): 5–35.
Published: 01 February 2009
..., J. M. 2003 . A Voice for Nonprofits . Washington, DC: Brookings Institution Press. Bindman, A. B., K. Grumbach, S. Bernheim, K. Vranizan, and M. Cousineau. 2000 . Medicaid Managed Care's Impact on Safety-Net Clinics in California. Health Affairs 19 ( 1 ): 194 -202. Boris, E. T., and C...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1996) 21 (3): 433–460.
Published: 01 June 1996
...Michael S. Sparer Nearly every state now encourages (or requires) its Medicaid beneficiaries to enroll in managed care. There is, however, extraordinary variation in every aspect of state managed care policy. In this article, I examine the managed care initiatives of two states, New York and...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1997) 22 (3): 815–838.
Published: 01 June 1997
...Colleen M. Grogan An Aid to Families with Dependent Children (AFDC)–Medicaid managed care policy consensus has emerged in the American states. Although there are two main organizational forms—primary care case management and risk-based capitation models—states are converging on the risk-based...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1997) 22 (1): 5–21.
Published: 01 February 1997
... managed care into their Medicaid programs as an approach to reduce costs. Arizona has the only statewide, mandatory managed care Medicaid program, the Arizona Health Care Cost Containment System (AHCCCS). This study examines Arizona physicians’ perceptions of both AHCCCS and commercial managed care plans...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1999) 24 (1): 1–26.
Published: 01 February 1999
...Jane Root; Sue Stableford Effective consumer communication is key to successfully moving Medicaid recipients into managed care systems and realizing the promised cost savings from the upheaval. Yet, little attention has been paid to educating these consumers with easy-to-read materials. The Maine...
Journal Article
Journal of Health Politics, Policy and Law (1 October 1999) 24 (5): 1159–1172.
Published: 01 October 1999
... . Managed Care and Devolution. In Medicaid and Devolution: A View from the States, ed. F. J. Thompson and J. J. DiIulio Jr. Washington, DC: Brookings Institution. Hau , L. 1998 . Rate Increases to Help HMOs Boost Earnings as Enrollment Growth Slows. Wall Street Journal, 20 July, B5. Health Care...
Journal Article
Journal of Health Politics, Policy and Law (1 October 2012) 37 (5): 815–849.
Published: 01 October 2012
...Ae-Sook Kim; Edward Jennings This article utilizes a theoretical framework of policy innovation, diffusion, and reinvention to investigate the evolving nature of Medicaid managed care programs over time. By estimating two separate models, one for primary care case management (PCCM) and a second for...
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Published: 01 April 2018
Figure A3 Medicaid Managed Care Penetration and Medicaid Reporting Rates Figure A3. Medicaid Managed Care Penetration and Medicaid Reporting Rates More
Journal Article
Journal of Health Politics, Policy and Law (1 June 2002) 27 (3): 465–494.
Published: 01 June 2002
... highlight both the promise and the pitfalls of relying on courts to correct deficiencies in public managed care programs. This article argues that while litigation over inadequacies in Medicare and Medicaid managed care can serve an important signaling function in alerting agencies and legislatures about...
Journal Article
Journal of Health Politics, Policy and Law (1 February 2015) 40 (1): 245–255.
Published: 01 February 2015
... University Press 2015 Medicaid state health reform managed care Oregon coordinated care organizations Innovations in Oregon's Medicaid program, the Oregon Health Plan (OHP), have attracted nationwide attention for two decades. Oregon's explicit rationing through a prioritized list of...
Journal Article
Journal of Health Politics, Policy and Law (1 April 2018) 43 (2): 137–183.
Published: 01 April 2018
...Figure A3 Medicaid Managed Care Penetration and Medicaid Reporting Rates Figure A3. Medicaid Managed Care Penetration and Medicaid Reporting Rates ...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1996) 21 (3): 461–488.
Published: 01 June 1996
... Congress, as well as the prospects for CHCs under Medicaid managed care as it sweeps rapidly across the nation. As a case study, we examine California’s policies that mandate that Medicaid recipients enroll in either a private managed care plan or a newly created public plan, which compete against each...
Journal Article
Journal of Health Politics, Policy and Law (1 April 1997) 22 (2): 633–666.
Published: 01 April 1997
...Marsha Gold Medicaid is the major national program promoting access to care for low-income populations, but the program also is a federal-state partnership. With costs rising and universal access still a remote objective, many states have turned to market-based strategies involving managed care...
Journal Article
Journal of Health Politics, Policy and Law (1 February 2015) 40 (1): 257–264.
Published: 01 February 2015
...Anna Marie Chang; Deborah J. Cohen; Dennis McCarty; Traci Rieckmann; K. John McConnell Abstract In the Point article, Steven W. Howard et al. argue that the Oregon Health Authority's coordinated care organizations (CCOs) are different from traditional Medicaid managed care organizations in ways...
Journal Article
Journal of Health Politics, Policy and Law (1 June 2007) 32 (3): 379–413.
Published: 01 June 2007
...Bruce Spitz Duke University Press 2007 American Academy of Actuaries, CMS Medicaid Rate Certification Work Group. 2005 . Actuarial Certification Rates for Medicaid Managed Care Programs . Health Practice Note 2004-1. Washington, DC: American Academy of Actuaries. Bailit, M., L...
Journal Article
Journal of Health Politics, Policy and Law (1 December 2014) 39 (6): 1213–1251.
Published: 01 December 2014
... included in Medicaid benefit packages. States vary in the optional services they cover, which groups are eligible for these optional services, what service use limits are imposed, and how care is managed. However, the most important and expensive benefits are mandated by the federal government. These...
Includes: Supplementary data
Journal Article
Journal of Health Politics, Policy and Law (1 October 2004) 29 (4-5): 701–734.
Published: 01 October 2004
... The Social Transformation of American Medicine, the growth of HMOs indeed accelerated remarkably. Within a few more years, by the mid-1990s, HMOs and other forms of managed care became the standard for employer-sponsored coverage as well as for state Medicaid programs. Starr does not provide an...