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Related Experiment Videos

Latest Medicaid managed care plans

P L Grimaldi

    Nursing Management
    |February 1, 1997
    PubMed
    Summary
    This summary is machine-generated.

    States are exploring managed care for aged and disabled Medicaid beneficiaries, integrating acute and long-term services. This approach addresses budget challenges for dual Medicare and Medicaid enrollees.

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    Area of Science:

    • Health policy research
    • Healthcare management
    • Public health economics

    Background:

    • Medicaid programs face increasing costs for aged and disabled recipients.
    • Managed care models are being considered for these populations.
    • Integration of acute and long-term care services presents significant challenges.

    Purpose of the Study:

    • To examine state initiatives for transferring aged and disabled Medicaid recipients to managed care.
    • To analyze the complexities of integrating acute and long-term care within these plans.
    • To address the financial pressures driving these policy changes.

    Main Methods:

    • Analysis of state-level policy proposals.
    • Review of integrated care models.
    • Examination of financial sustainability in Medicaid and Medicare.

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    Main Results:

    • Several states are actively studying managed care transitions for dual-eligible populations.
    • Ambitious initiatives aim to integrate acute and long-term care financing and delivery.
    • The dual eligibility for Medicare and Medicaid complicates these transitions.

    Conclusions:

    • Integrating care for aged and disabled Medicaid recipients in managed care is a complex but necessary endeavor.
    • Addressing budget deficits requires innovative solutions for dual-eligible beneficiaries.
    • Policy solutions must navigate the intersection of Medicaid, Medicare, and long-term care services.