The Resource Medicaid: Factors to Consider in Expanding Managed Care Programs

Medicaid: Factors to Consider in Expanding Managed Care Programs

Label
Medicaid: Factors to Consider in Expanding Managed Care Programs
Title
Medicaid: Factors to Consider in Expanding Managed Care Programs
Contributor
Subject
Language
eng
Summary
In conclusion, managed care programs can offer an opportunity to improve access to quality health care. Because of the financial incentives of such programs and the vulnerability of the Medicaid population, we believe a set of safeguards must be instituted to assure adequate protection for recipients. These include a quality assurance system that requires client satisfaction and disenrollment surveys; a grievance procedure; and an outside independent review of medical records. Further, to reduce financial risks, states need to monitor: the financial arrangements between the contracting plan and its individual providers for excessive incentives not to provide necessary services; utilization services are being provided; subcontracts in the same manner as contracts because the same problems can arise. Finally, effective state and federal oversight is needed along with prompt corrective actions when problems are identified. JMD
Cataloging source
DTICE
Index
no index present
Literary form
non fiction
http://library.link/vocab/relatedWorkOrContributorName
GENERAL ACCOUNTING OFFICE WASHINGTON DC HUMAN RESOURCES DIV
http://library.link/vocab/subjectName
  • Budgets
  • Medical services
  • Health care facilities
  • Contracts
  • Vulnerability
  • Medicine
  • Quality
  • Safety
  • Quality assurance
  • Records
  • Utilization
  • Medicine and Medical Research
  • Economics and Cost Analysis
Label
Medicaid: Factors to Consider in Expanding Managed Care Programs
Instantiates
Publication
Note
Testimony Before the Subcommittee on Health for Families and the Uninsured Committee on Finance, United States Senate
Carrier category
online resource
Carrier category code
  • cr
Carrier MARC source
rdacarrier
Content category
text
Content type code
  • txt
Content type MARC source
rdacontent
Extent
12 pages
Form of item
online
Governing access note
APPROVED FOR PUBLIC RELEASE
Media category
computer
Media MARC source
rdamedia
Media type code
  • c
Note
Hein Online
System control number
  • (OCoLC)227823445
  • (OCoLC)ocn227823445
Label
Medicaid: Factors to Consider in Expanding Managed Care Programs
Publication
Note
Testimony Before the Subcommittee on Health for Families and the Uninsured Committee on Finance, United States Senate
Carrier category
online resource
Carrier category code
  • cr
Carrier MARC source
rdacarrier
Content category
text
Content type code
  • txt
Content type MARC source
rdacontent
Extent
12 pages
Form of item
online
Governing access note
APPROVED FOR PUBLIC RELEASE
Media category
computer
Media MARC source
rdamedia
Media type code
  • c
Note
Hein Online
System control number
  • (OCoLC)227823445
  • (OCoLC)ocn227823445

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