Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Videos

Setting capitations for Medicaid: a case study.

A Leibowitz, J L Buchanan

Health Care Financing Review

|February 3, 1991

Summary

This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Substance use and mental health factors associated with self-reported higher risk cannabis use among people with HIV screened in primary care.

BMC public health·2025

Same author

Substance use and mental health factors associated with self-reported higher risk cannabis use among people with HIV screened in primary care.

Research square·2024

Same author

γδT Cells Are Essential for Orthodontic Tooth Movement.

Journal of dental research·2021

Same author

Red grape berry-cultured cells reduce blood pressure in rats with metabolic-like syndrome.

European journal of nutrition·2013

Same author

Comment on 'Fertility preservation in cancer survivors: a national survey of oncologists' current knowledge, practice and attitudes'--oncologists must not allow personal attitudes to influence discussions on fertility preservation for cancer survivors.

British journal of cancer·2013

Same author

Penicillin in infancy and childhood.

Lancet (London, England)·2010

Same journal

Health Care Indicators.

Health care financing review·2014

Same journal

Achieving cost control in the hospital outpatient department.

Health care financing review·2014

Same journal

Age Estimates in the National Health Accounts.

Health care financing review·2014

Same journal

Managed care: Practice, pitfalls, and potential.

Health care financing review·2014

Same journal

Overview.

Health care financing review·2014

Same journal

Research Issues: Dually Eligible Medicare and Medicaid Beneficiaries, Challenges and Opportunities.

Health care financing review·2014

See all related articles

New York State

Area of Science:

Health Services Research
Health Economics
Public Health Policy

Background:

Medicaid managed care organizations (MCOs) rely on capitation rates for financial sustainability.
Accurate capitation rates are crucial for ensuring access to care for Medicaid beneficiaries.
Ratesetting methodologies can significantly impact MCO financial performance and service provision.

Purpose of the Study:

To evaluate the methodology used by New York State to set capitation rates for a specific Medicaid health maintenance organization.
To identify generalizable lessons regarding the capitation ratesetting process for Medicaid prepaid plans.
To assess the adequacy of data utilization in ensuring fair and stable rate estimates.

Main Methods:

Case study analysis of New York State's capitation ratesetting process for a Medicaid MCO.

Related Experiment Videos

Examination of the specific methods and assumptions employed in the ratesetting.

Review of data sources used to derive rate estimates.

Main Results:

The current ratesetting methodology may not fully leverage statewide data for robust estimates.
Specific assumptions made in the case study could impact the fairness and stability of capitation rates.
There is a need for greater reliance on comprehensive, statewide data.

Conclusions:

The findings suggest improvements are needed in New York's Medicaid capitation ratesetting.
Increased use of statewide data can enhance the fairness and statistical stability of rates.
Lessons learned are applicable to other states and prepaid health plans serving Medicaid enrollees.