Overview of Medicaid capitation and case-management initiatives.
Freund, Deborah A
Date of Pub
Case-management programs have grown in number and in acceptance in the Medicaid program since 1981. In this article, we review
their structure and incentives as well as what is known about their impact on cost and use. These programs also have been
difficult to implement, posing myriad management challenges for prepaid program managers and State administrators. We highlight
the problems in the following areas: eligibility, enrollment, rate setting, and management information systems.
Capitation Fee : Fees and Charges : Aged : Choice Behavior : Data Collection : Health Maintenance Organizations/utilization
: Human : Medicaid/organization & administration : Operations Research : Support, Non-U.S. Gov't : Support, U.S. Gov't, Non-P.H.S.
: United States