Managed care in Massachusetts.

Part of a special section on Medicaid and issues for health care reform. The conversion of a fee-for-service program into a managed-care system in Massachusetts is discussed. Medicaid cost increases in the state were driven by rising caseloads and double-digit inflation in medical costs compounded...

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Published in:Public Welfare Vol. 53; pp. 6 - 10
Main Author: Bullen, Bruce M.
Format: Article
Published: American Public Human Services Association Spring 1995
Subjects:
Online Access:View this record in EBSCOhost
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        au: Bullen, Bruce M.
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        Managed care programs
        Health insurance
        Medicaid
        Medical care
        Massachusetts
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          Massachusetts
          Managed care programs
          Health insurance
          Medicaid
          Medical care
      ab: Part of a special section on Medicaid and issues for health care reform. The conversion of a fee-for-service program into a managed-care system in Massachusetts is discussed. Medicaid cost increases in the state were driven by rising caseloads and double-digit inflation in medical costs compounded by an economic recession more severe than throughout the rest of the U.S., and a number of difficult questions had to be addressed before a managed-care program was designed and implemented. These difficulties are considered, and several lessons learned from the experience in Massachusetts are outlined.
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