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Related Experiment Videos

Beyond managing Medicaid costs: restructuring care

M E Stuart1, M Weinrich

  • 1University of Maryland, Baltimore County, USA.

The Milbank Quarterly
|June 6, 1998
PubMed
Summary
This summary is machine-generated.

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Managed care for Medicaid may not work for high-cost patients. Integrating specialized systems with public policy could improve quality and lower costs for Medicaid managed care.

Area of Science:

  • Health Policy
  • Healthcare Management
  • Public Health

Background:

  • Managed care's success in cost control attracts policymakers for Medicaid.
  • Traditional managed care principles may not suit high-cost Medicaid populations.

Purpose of the Study:

  • To analyze the effectiveness of managed care initiatives for Medicaid recipients.
  • To identify challenges and suggest improvements for Medicaid managed care.

Main Methods:

  • Analysis of the Maryland Medicaid database.
  • Review of successes and failures of past managed care initiatives.

Main Results:

  • Traditional managed care strategies are likely ineffective for costly Medicaid subgroups.

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  • Existing approaches may be self-defeating for specific patient segments.

    • Conclusions:

    • Integrating specialized systems for Medicaid subgroups into managed care is recommended.
    • Broader public policies alongside specialized systems can improve quality and reduce costs.