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Title
Federally qualified health centers: Surviving Medicaid managed care, but not thriving.
First Author
Hoag, Sheila D
Date of Pub
2000 Winter
Pages
103-117
Volume
22
Issue
2
Other Authors
Norton, Stephen A; Rajan, Shruti
Abstract
This article reviews the experiences of federally qualified health centers (FQHCs) in Hawaii, Rhode Island, and Tennessee before and after Medicaid managed care demonstrations began. Adapting to managed care proved challenging, but all FQHCs survived. Overall, FQHCs performed better financially than anticipated, partly because demonstrations expanded coverage to previously uninsured individuals, and because FQHCs in two States formed plans that paid FQHCs more than other plans. Service encounters declined; it is unclear if this is negative, since it may indicate more efficient care delivery. In some cases, supportive State policies aided FQHCs' survival. Continued adaptation is critical for FQHCs' longer term prospects.
Abstract Continued
N/A
MeSH
Hawaii : Health Care Reform : Health Maintenance Organizations : Health Policy/economics : Health Services Accessibility : Managed Care Programs : 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