Medicaid managed care in new york: problems and promise for childhood immunizations

Gerry Fairbrother, Karla L. Hanson, Gary Butts

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

New York State is aggressively pursuing mandatory Medicaid managed care. Under managed care, physicians and plans have a defined population for which they are responsible, quality assurance monitoring emphasizes immunization rates along with other preventive services, and population-based incentives are possible. The literature does not offer compelling evidence, however, that immunization coverage is any better in managed care than under fee-for-service. If reimbursement is low and physician capacity insufficient, immunization rates may be considerably worse. In New York, care needs to be taken so that expansion does not outstrip the capacity of managed care plans to absorb additional enrollees.

Original languageEnglish
Pages (from-to)59-66
Number of pages8
JournalJournal of Public Health Management and Practice
Volume2
Issue number1
DOIs
StatePublished - 1996

Keywords

  • Immunization
  • Managed care
  • Medicaid
  • Quality indicators

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