Nationwide Evaluation of Medicaid Competition Demonstrations. Volume 8. Enrollment Choice and Biased Selection

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 program 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. Volume 8 examines beneficiary enrollment choice and biased selection in the Medicaid demonstrations in Missouri and New Jersey. For the Missouri demonstration, both primary data from the Medicaid Consumer Survey, as well as secondary claims data, were used. For the New Jersey analyses, only secondary claims data were available.