Developing Integrated Managed Care Systems for Children with Disabilities: TheState of the Art (Includes Cases for California, Florida, Massachusetts and Michigan)

摘要

This project represents an initial inquiry into managed care as it affectschildren with disabilities. Despite the fact that many health care services are moving toward managed or coordinated care, many of those with disabilities express concern with how they will fare under such a system. The project involved a literature review and open-ended telephone interviews to gain an understanding of the state-of-the-art in managed care for children with disabilities. Private providers and insurers, managed care experts, and state and federal officials involved in Medicaid managed care demonstrations were interviewed. The interviews identified states or sites where managed care is being delivered or contemplated for children with disabilities. It also reviewed the various definitions of managed care used in these programs, services covered, and programs that provide traditional managed care (primarily acute care) or some combination of acute and long-term care.