Related Experiment Videos
Mandated managed care for Medicaid recipients.
H Jolt1, M M Leibovici, S Lehrfeld
1Department of Community Health, Long Island University, Brooklyn, NY, USA.
Health Care Management (Philadelphia, Pa.)
|September 5, 1995
Summary
Mandated managed care for Medicaid recipients aims to control government health spending. However, this study argues that singling out this population for healthcare rationing is inequitable.
Area of Science:
- Public Health Policy
- Healthcare Economics
- Health Services Research
Background:
- Governmental efforts to control healthcare expenditures have prompted managed care experiments for Medicaid recipients.
- The trade-off of patient choice for cost control has been a central tenet of these reforms.
- Historical context and legislative actions underpin the implementation of these healthcare policies.
Purpose of the Study:
- To examine the historical and legislative background of mandated managed care for Medicaid.
- To analyze the implications of rationing healthcare services for vulnerable populations.
- To advocate for equitable burden-sharing in healthcare cost-containment measures.
Main Methods:
- Historical analysis of healthcare policy.
- Legislative review.
- Examination of research and demonstration projects related to managed care.
Main Results:
- Mandated managed care has been implemented to manage governmental health expenditures.
- Rationing of healthcare services is viewed as an inevitable consequence of cost-control measures.
- Current policies disproportionately burden Medicaid recipients with healthcare rationing.
Conclusions:
- While some healthcare rationing may be unavoidable, it should not disproportionately affect Medicaid beneficiaries.
- Equitable distribution of the burden of healthcare cost control is essential.
- Policy reforms should consider fairness and avoid singling out specific populations for sacrifices in care access.