Evaluation & the Health Professions · 2000 · 33 citations · 0 references
Public AffairsHealth PolicyHealth Services AdministrationHealthcare Quality ImprovementManaged CareMedicaid PolicyAccountable Care OrganizationsHealth Care OrganizationsHealth Care QualityHealth Services OrganizationMedicaidQuality Of CareAccountable Care Organization ArrangementsManaged Care OrganizationsManaged Care Performance EvaluationManaged Care ReformManaged Care SystemsMedicaid Fee-for-serviceMedicaid Quality MeasurementQuality Information
Medicaid managed care is evolving, with accountability improving quality measurement and outcomes, and state collaborations enhancing program performance. The article reviews Medicaid managed care history (early 1980s–late 1990s) and argues that accountability is a major advantage of managed care. The authors conduct a historical overview of Medicaid managed care from the early 1980s to the late 1990s, highlighting operational, fiscal, and political realities of implementation.
Medicaid managed care is a work in progress. This article provides a brief historical overview of Medicaid managed care from the early 1980s to the late 1990s and offers insight into some of the major operational, fiscal, and political realities of implementing managed care in a Medicaid context. This article also attempts to show that a major advantage of managed care is having a more accountable health care system. Accountability can bring quality improvements to a system that often lacked the ability to measure performance and results under Medicaid fee-for-service. Subsequent articles in this journal demonstrate how states working together with managed care organizations and quality review organizations can better define, measure, and use quality information to improve their Medicaid managed care programs.