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Title
Utilization of services in Arizona's capitated Medicaid program for long-term care beneficiaries.
First Author
McCall, Nelda
Date of Pub
1997 Winter
Pages
119-134
Volume
19
Issue
2
Other Authors
Korb, Jodi
Abstract
The Arizona Long-Term Care System (ALTCS), Arizona's Medicaid program for long-term care (LTC) beneficiaries, capitates contractors to provide a full range of acute and LTC services to financially-eligible beneficiaries determined to be at risk of institutionalization. This article compares the acute care utilization experience of LTC beneficiaries in ALTCS with those in a fee-for-service (FFS) Medicaid program, linking data from both the Medicare and the Medicaid program files. Patterns of use observed in Arizona seem more consistent with a managed care environment than those observed in the FFS comparison. Rates of acute care utilization observed for both the capitated and the FFS program should be of interest to States considering incorporating LTC beneficiaries into their Medicaid managed care program.
Abstract Continued
N/A
MeSH
Aged : Aged, 80 and over : Arizona : Comparative Study : Data Interpretation, Statistical : Demography : Fee-for-Service Plans/economics/utilization : Female : Health Services Research : Human : Long-Term Care/economics/utilization : Male : Managed Care Programs/economics/utilization : Medicaid/statistics & numerical data : Medicare : Middle Age : New Mexico : State Health Plans/economics : Support, U.S. Gov't, Non-P.H.S. : United States
NTIS Number
PB99-109639