The Expanding Role of Managed Care in the Medicaid Program

States increasingly use managed care for Medicaid enrollees, yet evidence of its impact on healthcare outcomes is mixed. This research studies county-level Medicaid managed care penetration and healthcare outcomes among nonelderly disabled and nondisabled enrollees.

States increasingly use managed care for Medicaid enrollees, yet evidence of its impact on healthcare outcomes is mixed. This research studies county-level Medicaid managed care (MMC) penetration and healthcare outcomes among nonelderly disabled and nondisabled enrollees.

Results for nondisabled adults show that increased penetration is associated with increased probability of an emergency department visit, difficulty seeing a specialist, and unmet need for prescription drugs, and is not associated with reduced expenditures. We find no association between penetration and healthcare outcomes for disabled adults. This suggests that the primary gains from MMC may be administrative simplicity and budget predictability for states rather than reduced expenditures or improved access for individuals.

Read the article: http://urbn.is/1bEiP6m

Source: The Urban Institute