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Title
Medicaid's complex goals: Challenges for managed care and behavioral health.
First Author
Gold, Marsha
Date of Pub
2000 Winter
Pages
85-101
Volume
22
Issue
2
Other Authors
Mittler, Jessica
Abstract
The Medicaid program has become increasingly complex as policymakers use it to address various policy objectives, leading to structural tensions that surface with Medicaid managed care. In this article, we illustrate this complexity by focusing on the experience of three States with behavioral health carveouts - Maryland, Oregon, and Tennessee. Converting to Medicaid managed care forces policymakers to confront Medicaid's competing policy objectives, multiplicity of stakeholders, and diverse patients, many with complex needs. Emerging Medicaid managed care systems typically represent compromises in which existing inequities and fragmentation are reconfigured rather than eliminated.
Abstract Continued
N/A
MeSH
Health Behavior : Health Policy : Health Care Reform : Health Policy/economics : Health Services Accessibility : Managed Care Programs : Maryland : Oregon : Program Evaluation/statistics & numerical data : Quality Assurance, Health Care : State Health Plans : Support, U.S. Gov't, Non-P.H.S. : Tennessee : United States Health Care Financing Administration
NTIS Number
N/A