Overview of Medicaid capitation and case-management initiatives

Case-management programs have grown in number and in acceptance in the Medicaid program since 1981. In this article, we review their structure and incentives as well as what is known about their impact on cost and use. These programs also have been difficult to implement, posing myriad management ch...

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Detalles Bibliográficos
Autores principales: Freund, Deborah A., Neuschler, Edward
Formato: Online Artículo Texto
Lenguaje:English
Publicado: CENTERS for MEDICARE & MEDICAID SERVICES 1986
Materias:
Competition in a Changing Health Care Environment
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195090/
https://www.ncbi.nlm.nih.gov/pubmed/10311923
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author Freund, Deborah A.
Neuschler, Edward
author_facet Freund, Deborah A.
Neuschler, Edward
author_sort Freund, Deborah A.
collection PubMed
description Case-management programs have grown in number and in acceptance in the Medicaid program since 1981. In this article, we review their structure and incentives as well as what is known about their impact on cost and use. These programs also have been difficult to implement, posing myriad management challenges for prepaid program managers and State administrators. We highlight the problems in the following areas: eligibility, enrollment, rate setting, and management information systems.
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spelling pubmed-41950902014-11-04 Overview of Medicaid capitation and case-management initiatives Freund, Deborah A. Neuschler, Edward Health Care Financ Rev Competition in a Changing Health Care Environment Case-management programs have grown in number and in acceptance in the Medicaid program since 1981. In this article, we review their structure and incentives as well as what is known about their impact on cost and use. These programs also have been difficult to implement, posing myriad management challenges for prepaid program managers and State administrators. We highlight the problems in the following areas: eligibility, enrollment, rate setting, and management information systems. CENTERS for MEDICARE & MEDICAID SERVICES 1986-12 /pmc/articles/PMC4195090/ /pubmed/10311923 Text en
spellingShingle Competition in a Changing Health Care Environment
Freund, Deborah A.
Neuschler, Edward
Overview of Medicaid capitation and case-management initiatives
title Overview of Medicaid capitation and case-management initiatives
title_full Overview of Medicaid capitation and case-management initiatives
title_fullStr Overview of Medicaid capitation and case-management initiatives
title_full_unstemmed Overview of Medicaid capitation and case-management initiatives
title_short Overview of Medicaid capitation and case-management initiatives
title_sort overview of medicaid capitation and case-management initiatives
topic Competition in a Changing Health Care Environment
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195090/
https://www.ncbi.nlm.nih.gov/pubmed/10311923
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