Medicaid Managed Care: Looking Forward, Looking Back

This paper tracks changes and trends in Medicaid managed care between 1990 and 2002. The report is based on six NASHP surveys of state Medicaid managed care programs (conducted in 1990, 1994, 1996, 1998, 2000, and 2002). The surveys gathered information on the scope and operation of both risk and primary care case management (PCCM) programs. The report also looks ahead and includes a discussion with state officials of trends that may continue and factors that may impact the future of Medicaid managed care. Contents  Key Findings  Introduction to the Data  Marketplace  Enrolled Populations  Contractor Type and Covered Services  Selection and Payment  Access to Care  Quality  Looking Ahead  Conclusion Appendix: 2002 Survey Instrument

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