Back-Off, Not Backlash in Medicaid Managed Care

A commentary briefly traces the rise of Medicaid managed care in the 1990s. It is argued that, although Medicaid has escaped the politics of backlash surrounding managed care more generally, forces are at work eroding the initial enthusiasm for placing Medicaid enrollees in managed care. This erosio...

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Bibliographic Details
Published in:Journal of health politics, policy and law policy and law, 1999-10, Vol.24 (5), p.1159-1172, Article 1159
Main Authors: Fossett, James W., Thompson, Frank J.
Format: Article
Language:English
Subjects:
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8210
9190
Advocacy
Attitude to Health
Case management
Child
Children & youth
Childrens health insurance programs
Delivery Systems
Elderly
Enrollments
Expenditures
Female
Handicapped
Health care
Health care policy
Health Insurance
Health maintenance organizations
Health Policy
HMOs
Humans
Interinstitutional Relations
Legislation
Life & health insurance
Low income groups
Managed care
Managed Care Programs - organization & administration
Managed Care Services
Medicaid
Medicaid - organization & administration
Medicare
Medicine and Health
Organizational Change
Policy making
Policy Reform
Political Science
Politics
Population
Primary care
Private health care
Private Sector
Public Health and Health Policy
Public opinion
Public Policy
Social policy
Social Security
State budgets
States
Subnational government
U.S.A
United States
Waivers
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Summary:A commentary briefly traces the rise of Medicaid managed care in the 1990s. It is argued that, although Medicaid has escaped the politics of backlash surrounding managed care more generally, forces are at work eroding the initial enthusiasm for placing Medicaid enrollees in managed care. This erosion will prompt some states to back off from initiatives to extend capitated plans to ever larger segments of the Medicaid population. A commentary briefly traces the rise of Medicaid managed care in the 1990s. It is argued that, although Medicaid has escaped the politics of backlash surrounding managed care more generally, forces are at work eroding the initial enthusiasm for placing Medicaid enrollees in managed care. This erosion will not trigger a major retreat from Medicaid managed care, but it will prompt some states to back off from initiatives to extend capitated plans to ever larger segments of the Medicaid population. The technical and political issues involved in extending managed care to special-needs populations as well as the exit of commercial firms from Medicaid managed care have begun to slow its momentum.
ISSN:0361-6878
1527-1927
DOI:10.1215/03616878-24-5-1159