Prologue: After more than twenty years of operation, it has become clear to health
professionals and public policymakers alike that Medicaid, the federal/state health care …

This chapter examines the emergence of managed care in Medicaid from an alternative to
the mainstream delivery system for many beneficiaries. It offers a definition that …

The Medicaid program made a major commitment to managed care during the past decade.
Following turbulent early years, the marriage matured and stabilized because managed …

In the thirty-seven years since its creation, Medicaid has grown in terms of whom it covers
and what it costs. Current rates of Medicaid enrollment and cost growth are high relative to …

Medicaid spending is an increasing burden on already stressed state budgets. The states
find themselves trapped between these growing costs and mounting pressure to ensure …

Drawing on a decade of analysis and examination of the Medicaid program, this paper
assesses what we have learned about Medicaid—its role, its successes, and its setbacks. In …

Prologue: With increasing frequency, the phrase “managed care” is appearing in the lexicon
of individuals and organizations caught up in changing America's traditional health care …

Prologue: Medicaid is a major culprit in rising health care costs. The program s expenditures
increased by 13 percent in 1989, 18 percent in 1990, 27 percent in 1991, and 30 percent in …

The author provides an overview of the motivation leading nearly every state to develop
managed health care arrangements under the state and federally funded Medicaid program …

The apparent success of managed care plans in controlling medical costs has made the
prospect of managed care for Medicaid recipients attractive for state health policy makers …