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Managed care's impact on Medicaid financing for early intervention services
H B Fox1, M A McManus, R A Almeida
1Fox Health Policy Consultants, Washington, DC 20006-4607, USA.
Health Care Financing Review
|July 1, 1999
Summary
Medicaid financing for early intervention services decreased after managed care introduction. This analysis examines impacts on state programs and agencies.
Area of Science:
- Public Health
- Health Policy
- Pediatrics
Background:
- Medicaid is a primary funder for early intervention (EI) services.
- The Infants and Toddlers with Disabilities Program (ITDP) has relied on Medicaid since 1986.
- Managed care's introduction has altered healthcare financing landscapes.
Purpose of the Study:
- To analyze Medicaid financing trends for EI services.
- To assess the impact of managed care on EI service funding.
- To examine factors influencing Medicaid financing in EI programs.
Main Methods:
- Analysis of Medicaid financing data in 39 states.
- Comparison of funding before and after managed care implementation.
- Assessment of associations between financing and program characteristics, provider arrangements, and managed care policies.
Main Results:
- Medicaid financing for EI services was reduced post-managed care introduction.
- Managed care carve-out policies and contract requirements were associated with financing levels.
- Variations in financing reductions were observed across states.
Conclusions:
- Managed care significantly impacted Medicaid financing for EI services.
- Reduced funding has implications for state ITDPs, Medicaid agencies, and managed care organizations.
- Further research is needed to address funding challenges and ensure service continuity.