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Extending Medicaid Coverage to Low-Income Childless Adults: Opportunities and Cautions for Managed Care Plans

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Topics: Health Care Reform | Managed Care | Medicaid

Mathematica Policy Research has released a brief examing managed care opportunities for childless adults under the national health care reform law's Medicaid expansion.  The law explains how the Medicaid expansion will work and who it will make eligible for Medicaid coverage.  The authors also examine opportunities and challenges for managed care under the expansion.

From the report:

Health care reform Medicaid expansion will result in many potential new enrollees for Medicaid MCOs.  High health care needs and costs for low-income childless adults will present significant challenges in terms of outreach, network development, care management, capitated rate setting, and quality monitoring.

Full report: Extending Medicaid Coverage to Low-Income Childless Adults: Opportunities and Cautions for Managed Care Plans (PDF | 149.96 KB)exit disclaimer small icon

Mathematica Policy Research.  (2011).  Extending Medicaid coverage to low-income childless adults: opportunities and cautions for managed care plans.  Verdier, J.


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