De Facto Disentitlement in an Information Economy: Enrollment Issues in Medicaid Managed Care.
This article discusses enrollment issues in New Mexico's Medicaid managed care (MMC) system and seeks to illuminate reasons for persistent problems reported by workers and clients. It argues that between 1997 and 2000, the MMC and welfare reforms raised enrollment barriers by complicating and dehuma...
| Publicado en: | Medical Anthropology Quarterly Vol. 19; no. 1; pp. 26 - 47 |
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| Formato: | Artículo |
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Wiley-Blackwell
March 2005
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=510471223&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 510471223 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 07455194 GFS jtl: Medical Anthropology Quarterly issn: 07455194 maglogo: N pubinfo: dt: March 2005 vid: 19 iid: 1 pid: 480 pub: Wiley-Blackwell artinfo: ui: 510471223 10.1525/maq.2005.19.1.026 ppf: 26 ppct: 21 formats: fmt: – @attributes: type: T – @attributes: type: P size: 1.4MB tig: atl: De Facto Disentitlement in an Information Economy: Enrollment Issues in Medicaid Managed Care. aug: au: López, Leslie su: Managed care programs Public welfare Medical care -- Utilization Medicaid United States New Mexico sug: subj: United States New Mexico Managed care programs Public welfare Medical care -- Utilization Medicaid ab: This article discusses enrollment issues in New Mexico's Medicaid managed care (MMC) system and seeks to illuminate reasons for persistent problems reported by workers and clients. It argues that between 1997 and 2000, the MMC and welfare reforms raised enrollment barriers by complicating and dehumanizing the system, thus “technically disenfranchising” workers and clients. Specifically, the new system increased the need for professional, in-person enrollment assistance precisely when the state decreased its provision of it. Some aspects of the State Child Health Insurance Program (SCHIP) reforms indirectly aggravated those same problems, and though they also significantly lowered barriers in some areas, overall the new system was plagued with preexisting barriers as well as new, unmet needs that produced “de facto disentitlement” to health services. [bureaucracy, enrollment, labor, Medicaid managed care, New Mexico] Reprinted by permission of the publisher. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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