Nationwide Evaluation of Medicaid Competition Demonstrations. Volume 3. Appendices 3-2 through 3-5. Utilization and Cost Analyses

摘要

Medicaid capitation/case management demonstrations in six states (CA, FL, MN, MO, NY, NJ) were implemented in 1982-83 to test alternative strategies for the delivery and financing of health care to Medicaid beneficiaries. The evaluation examined implementation and operation issues, health care utilization and cost impacts, beneficiary access and satisfaction, quality of care, administrative costs, rate setting, and enrollment choice and biased selection. The final report for the evaluation is contained in eight volumes and supporting appendixes. Appendix 3-2 presents a discussion and tests relating to underreporting of secondary claims data. Appendix 3-3 provides an overview of the Medicaid Consumer Survey (MCS) and detailed results from analyses of self-reported utilization data collected as part of the MCS. Appendix 3-4 is a free-standing analysis of utilization by Medicare-Medicaid dual eligibles in California, based upon MCS self-reported utilization. Appendix 3-5 provides a cross-side comparison of utilization of health services, based upon claims data.