Deliverance: A Study of Medicaid and Managed Care Essay -- Health Medi

Deliverance A Study of Medicaid and Managed Care Since the inception of Medicaid in 1965, the program has seen extraordinary growth in expenditures and enrollment. From 1989 to 1992, the increases in Medicaid spending were the largest since the program began in. Enrollment in Medicaid by AFDC families grew from 3.8 million in 1990 to 4.4 million in 1992, almost a nine percent annual increase (Coughlin et al. 1994). During this period, states were besides experiencing the effects of a nationwide recession. Rapidly rising expenditure levels stretched revenue streams to their limits. In efforts to save money, states looked primarily at the benefits of managed care, which was becoming a successful rake and financing system (Ruggie 1996). Medicaid patients had a history of using emergency meanss for problems such as colds, flues, and other minor illnesses. Medicaid paid $75 for an emergency room visit in 1995, but only $29 for a physicians office visit (Lutz 1995). Medicaid officials hoped that placing the patient in contact with a uncomplicated care physician would encourage the use of preventative medicine, thereby holding down costs. States began Medicaid managed care programs using the AFDC population as guinea pigs. With waivers allowed under discussion section 1115 of the Social Security Act, states restructured their Medicaid programs (Rotwein et al. 1995). This was the single largest Medicaid innovation of the 1990s (Couglin et al. 1999). Between 1991 and 1996, enrollment of Medicaid clients in managed care increased by a factor of six (Thompson and DiIulio 1998). umteen reasons accompanied the assertion that the AFDC population would benefit the most from managed care. The women and children of AFDC could take advantage of the ... ...cience round 67 1174-1185.Key, V.O., Jr. 1999, reprinted. Southern Politics in State and Nation. Knoxville University of Tennessee Press.Lutz, Sandy. 1995. For current Reform, Watch the States. Modern Healthcare 25 31 -35.Rotwein, Suzanne, Maria Boulmetis and Paul J. Boben. 1995. Medicaid and State Health Care Reform Process, Programs, and Policy Options. Health Care Financing Review 16 105-120.Ruggie, Mary. 1996. Realignments in the Welfare State Health Policy in the United States, Britain, and Canada. New York Columbia University Press.Thompson, Frank J., and John J. DiIulio Jr., eds. 1998. Medicaid and Devolution A watch over from the States. Washington, D.C. Brookings Institution Press.Walker, Jack. 1969. The Diffusion of Innovations Among the American States. American Political Science Review 63 880-899.