Medicaid's complex goals: Challenges for managed care and behavioral health.
Date of Pub
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.
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