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Title
Perils of pioneering: Monitoring Medicaid managed care.
First Author
Wooldridge, Judith
Date of Pub
2000 Winter
Pages
61-83
Volume
22
Issue
2
Other Authors
Hoag, Sheila D
Abstract
This article reviews Federal and State oversight of Section 1115 Medicaid managed care demonstrations in Hawaii, Oklahoma, Rhode Island, and Tennessee from 1994 to 1998. Under Medicaid managed care, the Federal Government and States have had to shift their focus and resources into oversight functions that barely existed in fee-for-service (FFS) Medicaid. We find that Medicaid monitoring was slow to begin and not always adequate in these demonstrations. While State and Federal monitoring have improved over time, monitoring is not yet at the point of ensuring access and quality.
Abstract Continued
N/A
MeSH
Eligibility Determination : Hawaii : Health Care Reform : Health Maintenance Organizations : Health Policy/economics : Health Services Accessibility : Managed Care Programs : Oklahoma : Program Evaluation/statistics & numerical data : Quality Assurance, Health Care : Rhode Island : State Health Plans : Support, U.S. Gov't, Non-P.H.S. : Tennessee : United States Health Care Financing Administration
NTIS Number
N/A