Deliverance: A Study of Medicaid and Managed Care Essay -- Health Medi

Deliverance A Study of Medicaid and Managed Care Since the inception of Medicaid in 1965, the program has seen extraordinary harvest-time in expenditures and enrollment. From 1989 to 1992, the increases in Medicaid spending were the largest since the program began in. Enrollment in Medicaid by AFDC families grew from 3.8 million in 1990 to 4.4 million in 1992, al roughly a niner percent annual increase (Coughlin et al. 1994). During this period, states were also experiencing the effects of a comprehensive recession. Rapidly rising expenditure levels stretched revenue streams to their limits. In efforts to save money, states looked in the beginning at the benefits of managed care, which was becoming a successful delivery and financing dodging (Ruggie 1996). Medicaid patients had a history of using emergency rooms for problems such as colds, flues, and other minor illnesses. Medicaid paid $75 for an emergency room click in 1995, but only $29 for a physicians office visit (Lutz 19 95). Medicaid officials hoped that placing the patient in contact with a old care physician would encourage the use of preventative medicine, thereby memory down costs. States began Medicaid managed care programs using the AFDC population as guinea pigs. With waivers allowed nether Section 1115 of the Social Security Act, states restructured their Medicaid programs (Rotwein et al. 1995). This was the single largest Medicaid innovation of the 1990s (Couglin et al. 1999). surrounded by 1991 and 1996, enrollment of Medicaid clients in managed care increased by a mover of six (Thompson and DiIulio 1998). Many reasons accompanied the assertion that the AFDC population would benefit the most from managed care. The women and children of AFDC could take advantage of the ... ...cience Review 67 1174-1185.Key, V.O., Jr. 1999, reprinted. Southern administration in State and Nation. Knoxville University of Tennessee Press.Lutz, Sandy. 1995. For Real Reform, Watch the States. Modern Health care 25 31-35.Rotwein, Suzanne, Maria Boulmetis and Paul J. Boben. 1995. Medicaid and State Health Care Reform Process, Programs, and insurance Options. Health Care Financing Review 16 105-120.Ruggie, Mary. 1996. Realignments in the public assistance State Health Policy in the United States, Britain, and Canada. New York capital of South Carolina University Press.Thompson, Frank J., and John J. DiIulio Jr., eds. 1998. Medicaid and Devolution A View from the States. Washington, D.C. Brookings Institution Press.Walker, Jack. 1969. The public exposure of Innovations Among the American States. American Political Science Review 63 880-899.