Do For-Profit Health Plans Restrict Access to Care Under Medicaid Managed Care?

Journal Article

Do For-Profit Health Plans Restrict Access to Care Under Medicaid Managed Care?

May 27, 2008

Abstract

Managed care is the norm for many on Medicaid. In 2005, nearly 300 plans participated in state Medicaid managed care programs, with many operating under for-profit ownership. Concerns about the impact of plan ownership on access to care arise because of differences in the incentives in place in for-profit and nonprofit organizations. Using data from the 2002 National Survey of America's Families, this study examines the link between for-profit plan ownership and enrollees' access to health care. The results suggest that access to care for Medicaid enrollees may be better under nonprofit plans than for-profit plans. (Medical Care Research and Review, 2008 Apr 22.)

Research Area: 

Centers

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