Medicaid and CHIP Managed Care Payment Methods and Spending in 20 States
Final Report to the Office of the Assistant Secretary for Planning and Evaluation U.S. Department of Health and Human Services
Document date: December 01, 2012
Released online: October 17, 2013
This study of Medicaid and CHIP managed care programs in 20 states indicates that capitation rate-setting became more data-driven and transparent during the time period 2001-2010. Benefit packages were fairly consistent over time and among states, with carve outs in every state for a least one acute service. Total spending on managed care services for Medicaid enrollees varied considerably across states and subgroups; nondisabled children had the lowest average monthly spending and adults with disabilities had the highest.
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