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Related Experiment Videos

Managing Medicaid.

J Kosterlitz

    National Journal
    |April 16, 1992
    PubMed
    Summary
    This summary is machine-generated.

    State Medicaid officials want to use managed care plans for cost savings. However, patient advocates worry that easing safeguards could lead to abuses in these health plans.

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    Area of Science:

    • Health Policy
    • Public Health
    • Managed Care

    Background:

    • State Medicaid programs are exploring managed care health plans to control costs.
    • Managed care organizations offer potential cost-saving strategies for state healthcare programs.

    Purpose of the Study:

    • To examine the tension between cost control goals and patient protection in state Medicaid programs adopting managed care.
    • To understand the perspectives of state Medicaid officials and patient advocates regarding managed care implementation.

    Main Methods:

    • Analysis of policy documents and statements from state Medicaid agencies.
    • Review of advocacy group positions and concerns regarding patient safeguards.

    Main Results:

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  • State Medicaid officials express strong interest in leveraging managed care for fiscal efficiency.
  • Patient advocates voice significant opposition to reducing oversight, citing risks of exploitation.

    • Conclusions:

    • A critical balance must be struck between implementing cost-effective managed care in Medicaid and ensuring robust patient protections.
    • Further dialogue and policy adjustments are needed to address concerns about potential abuses within Medicaid managed care plans.