Issues Facing Medicaid and CHIP Managed Care

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June 2011

Section G of MACPAC’s June 2011 report looks at how states have pursued managed care strategies as a way to improve care management and care coordination, secure provider networks for beneficiaries, lower spending or make it more predictable, and improve program accountability. All of these goals will continue to be important as states work to improve the health of Medicaid enrollees, both in managed care and fee for service, while addressing budget constraints.

However, state strategies are likely to differ based on factors such as population characteristics, population density, provider availability, plan participation, state goals, and existing managed care arrangements in each state. Read more about some of the issues state Medicaid programs will encounter as they consider expanding existing or developing new managed care programs.

Publication Type: Reports to Congress

From: June 2011 Report to Congress: The Evolution of Managed Care in Medicaid

Tags: access, CHIP, data, encounter data, enrollment, full risk managed care, limited benefit plans, managed care, oversight, primary care case management, program integrity, quality