Research Report Medicaid Managed Care Payment Methods and Capitation Rates
Results of a National Survey
John Holahan, Matthew Schirmer
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The first nationwide comparison of how much states are paying for Medicaid managed care shows more than a two-fold variation in the rates set by 36 states. Of the 36 states responding to the survey, the highest managed care capitation rates occur in Connecticut, Hawaii, Kentucky, Massachusetts, New Hampshire, New Mexico, Texas, Utah, and the District of Columbia; the lowest rates occur in California, Florida, Georgia, Indiana, Kansas, Nevada, South Carolina, Tennessee, and Wisconsin. Capitation rates refer to the amount per Medicaid enrollee that the state pays to the managed care plan per month. The survey found several reasons why rates vary.
Research Areas Health and health care
Tags Health insurance Health care delivery and payment Medicaid and the Children’s Health Insurance Program  Hospitals and physicians