The Expanding Role of Managed Care in the Medicaid Program: Implications for Health Care Access, Use, and Expenditures for Nonelderly Adults

INQUIRY: The Journal of Health Care Organization, Provision, and Financing

Kyle J. Caswell¹ 

关键词: Medicaid;    managed care;    access to health care;    health care utilization;    health care costs;   

DOI  :  10.1177/0046958015575524

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

States increasingly use managed care for Medicaid enrollees, yet evidence of its impact on health care outcomes is mixed. This research studies county-level Medicaid managed care (MMC) penetration and health care outcomes among nonelderly disabled and nondisabled enrollees. Results for nondisabled adults show that increased penetration is associated with increased probability of an emergency department visit, difficulty seeing a specialist, and unmet need for prescription drugs, and is not associated with reduced expenditures. We find no association between penetration and health care outcomes for disabled adults. This suggests that the primary gains from MMC may be administrative simplicity and budget predictability for states rather than reduced expenditures or improved access for individuals.

【 授权许可】

CC BY-NC