Researching the market-level effects of Medicaid HMOs on physician participation, enrollee access, and program costs
The Foundation's Changes in Health Care Financing and Organization program was designed to support research, demonstration, and evaluation projects examining major changes in health care financing.States have markedly increased their use of capitated Medicaid managed care during the 1990s in the hope of either increasing enrollee access, decreasing costs, or both. Early research found that this delivery system did shift the site of ambulatory care, but did not necessarily increase preventive care or reduce hospitalizations. This grant supports use of the Community Tracking Study physician and household surveys to examine the effects of increased Medicaid HMO penetration on physician participation, enrollee access, and cost savings achieved by changing service mix. The purpose of this project is to provide policy makers with a more up-to-date and comprehensive look at what capitated Medicaid managed care buys, which will be especially useful in the current climate of fiscal constraint.
Amount Awarded $172,075.00
Awarded on: 4/27/2004
Time frame: 5/1/2004 - 4/30/2006
Grant Number: 50954