How Politics Affect and Influence Medicaid's Venture Into Managed Care

Study of political structures that states use in designing and implementing Medicaid managed care programs

From 1997 to 1999, researchers at the University of Michigan Institute for Social Research examined the political structures that states adopt to create and implement Medicaid managed-care (MMC) programs.

Key Findings

  • Various elements within state political systems have clear, identifiable and systematic impacts on the politics of health care decision making.

    Those elements—especially the professionalism of the legislature, opportunities for legislative review of agency decision-making, and the competitiveness of the party system—affect outcomes in the following three areas:

    • The extent to which legislators become involved in health care policy-making.
    • When they become involved.
    • Where opportunities lie for groups to influence policy.