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Does Managed Care Improve Access to Care for Medicaid Beneficiaries with Disabilities? A National Study

Bibliographic Data

ID13775751
AuthorsTeresa A Coughlin (Urban Institute, corresponding author), Sharon K Long, John A Graves (0000-0002-8954-8202)
Year2008
Volume45
Issue4
Pages395-407
Publication date2008-11-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueINQUIRY The Journal of Health Care Organization Provision and Financing (JOURNAL)
Journal identifiersISSN: 0046-9580 • E-ISSN: 1945-7243
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.5034/inquiryjrnl_45.04.395
PMID19209835
OpenAlexW2030196924
LanguageEN
Citations received7
References cited16

States increasingly are shifting Medicaid beneficiaries with disabilities from the fee-for-service (FFS) delivery system to managed care in an effort to control program costs and address long-standing problems with access to care under the program. Using a county-based measure of managed care enrollment and pooled data from the 1997 to 2004 National Health Interview Surveys, we investigate whether Medicaid managed care (MMC), relative to FFS Medicaid, improves access to care. We find some evidence of improved access to care under MMC; however, the gains appear to be largely limited to beneficiaries in urban areas with fully capitated managed care. There is little evidence of improved access under primary care case management or, regardless of MMC type, in rural areas

Business · Economic growth · Family medicine · Health care · Managed care · Medicaid · Medicaid managed care · Primary care · Service (business · Service delivery framework · Global Health Care Issues · Healthcare Policy and Management · Marketing · Medicine · Nursing · Primary Care and Health Outcomes

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Unique citing works7
Citations per year0,41
Citation span2009 - 2019 (11)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 6
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