Health Affairs · 1997 · 41 citations · 0 references
Public AffairsHealth PolicyHealth Services AdministrationHealth InsuranceHealth Services ResearchManaged CareCare PlansHealth Insurance EconomicsHealth Insurance MarketsHealth Insurance Plan TypesMedicaidEnrollmentHealth Care Market AnalysisHealth Care Market ConcentrationHealth Care Spending PatternsHealth Maintenance Organization EconomicsHealth Maintenance Organization PlansMedicaid Managed Care EnrollmentMedicaid Managed Care Plans
To better understand the Medicaid managed care market during a period of rapid change, we developed a new data set that links Medicaid enrollment data with health maintenance organization (HMO) industry data for 1993-1996 to analyze Medicaid enrollment in full-risk health plans. Nearly half of the Medicaid enrollees in a fully capitated managed care arrangement were in plans in which Medicaid makes up at least 75 percent of the total enrollment. In addition, the number of Medicaid-only plans has more than doubled since 1993. Commercial-based plans participated increasingly in Medicaid managed care during the period, yet more than half of the plans entering the Medicaid market were newly formed.