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States are increasingly turning to managed care arrangements to control costs in their Medicaid programs.
Perhaps because of the variation in managed care arrangements, the results of studies have been mixed.
Here managed care arrangements may indirectly influence the number of pediatric subspecialists by changing institutional staffing plans [ 10].
Five studies reported that children in managed care arrangements had worse access to specialty care [ 15, 43- 46].
One set of studies found that managed care arrangements have no effect or a positive effect on access to specialty care.
There are several potential reasons for the varied results seen for the effects of managed care arrangements on access to specialty care.
Similar(51)
One study found no significant differences in the number of specialty visits for Medicaid-insured infants receiving coverage through a managed care arrangement compared to fee-for-service arrangements [ 37].
As the overall male/female work demographic continues to shift, families will have a greater need to sit down and discuss who's responsible for managing care arrangements and the inevitable crises that come along.
The managed care system entailed a modularized treatment protocol.
We then used these indicators to compare health care received by elderly Medicare beneficiaries in three kinds of payment arrangements: a capitated, staff-model health maintenance organization (HMO) and a partially capitated group-model HMO, both parts of the same managed care organization, and in fee-for-service (FFS) care in the same geographic area.
Docs must cut ties with most of their patients–especially those who can't afford the service and opt out of Medicare and any other managed-care arrangement that regulates fees.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com