Nationwide Evaluation of Medicaid Competition Demonstrations. Volume 2. Implementation and Operation Issues: Final Case Study Overview

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 2 integrates findings from the individual demonstration case studies, which documented the planning, implementation, and ongoing operations of the demonstrations. Case studies were conducted at each site approximately once per year over the four years of the evaluation. The volume summarizes and highlights findings from the case studies.