The Expanding Role of Managed Care in the Medicaid Program
Implications for Health Care Access, Use, and Expenditures for Nonelderly Adults
Bibliographic Data
| ID | 13774729 |
|---|---|
| Authors | Kyle J Caswell (0000-0002-7424-2630, The Urban Institute, Washington, DC, USA, corresponding author), Sharon K Long (The Urban Institute, Washington, DC, USA) |
| Year | 2015 |
| Volume | 52 |
| Publication date | 2015-01-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | INQUIRY The Journal of Health Care Organization Provision and Financing (JOURNAL) |
| Journal identifiers | ISSN: 0046-9580 • E-ISSN: 1945-7243 |
| Publisher | SAGE Publishing (PUBLISHER • US) |
| DOI | 10.1177/0046958015575524 |
| PMID | 25882616 |
| OpenAlex | W2153218248 |
| Language | EN |
| Citations received | 2 |
| References cited | 15 |
States increasingly use managed care for Medicaid enrollees, yet evidence of its impact on health care outcomes is mixed. This research studies county-level Medicaid managed care (MMC) penetration and health care outcomes among nonelderly disabled and nondisabled enrollees. Results for nondisabled adults show that increased penetration is associated with increased probability of an emergency department visit, difficulty seeing a specialist, and unmet need for prescription drugs, and is not associated with reduced expenditures. We find no association between penetration and health care outcomes for disabled adults. This suggests that the primary gains from MMC may be administrative simplicity and budget predictability for states rather than reduced expenditures or improved access for individuals
Emergency department · Family medicine · Health care · Managed care · Medicaid · Medicaid managed care · Medical prescription · Patient Protection and Affordable Care Act · Gender, Labor, and Family Dynamics · Global Health Care Issues · Healthcare Policy and Management · Medicine · Nursing
Does Managed Care Improve Access to Care for Medicaid Beneficiaries with Disabilities? A National Study
Has the Shift to Managed Care Reduced Medicaid Expenditures? Evidence from State and Local-Level Mandates
Unnatural Experiments? Estimating the Incidence of Endogenous Policies
Medicaid Managed Care and Cost Containment in the Adult Disabled Population
National Estimates of the Effects of Mandatory Medicaid Managed Care Programs on Health Care Access and Use, 1997–1999
Has the Increase in HMO Enrollment Within the Medicaid Population Changed the Pattern of Health Service Use and Expenditures
| Citations per year | 0.25 |
|---|---|
| Citation span | 2018 - 2018 (1) |
| Highly cited | No |