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Effects of Medicaid Managed Care Programs on Health Services Access and Use

Publication Date: April 01, 2003
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Medicaid enrollees' access to and use of health care may be affected by the type of Medicaid managed care (MMC) program operating in their county. Using National Health Interview Survey data linked to county-level Medicaid managed care characteristics, we found that, relative to traditional fee-for-service programs, mandatory programs with both primary care case management (PCCM) and HMO options did the most to improve health care access and utilization for children. In contrast, we found potentially negative health care impacts for women in mandatory HMO programs. Mandatory PCCM programs had virtually no effects on access and use for women or children. (Health Services Research 38(2): 575–94.)

Topics/Tags: | Health/Healthcare


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