Implementing medicaid managed care: The New York City story

Michael Sparer, Lawrence D. Brown, Anthony R. Kovner

Research output: Contribution to journalReview articlepeer-review

3 Scopus citations

Abstract

Across the nation, public officials are encouraging or requiring Medicaid beneficiaries to enroll in managed care. In this article, we report on a study of the implementation of Medicaid managed care in New York City. Several findings are clear. First, government officials need to treat health plans as partners rather than adversaries; in New York, the relationship between the state and the plans is far too adversarial. Second, effective managed care requires good management information systems; New York officials are collecting an enormous amount of data but not much useful information. Third, effective implementation of Medicaid managed care is slow going; New York's effort to dramatically accelerate the enrollment process did not work.

Original languageEnglish
Pages (from-to)1-17
Number of pages17
JournalJournal of Health Care Finance
Volume26
Issue number1
StatePublished - Sep 1999
Externally publishedYes

Keywords

  • Health policy
  • Managed care
  • Medicaid

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