Rosenbaum S, Shin P, Smith BM, Wehr E, Borzi PC, Zakheim MH, Shaw K, Silver K. 1997. Negotiating the new health system: A nationwide study of Medicaid managed care contracts. Washington, DC: George Washington University Medical Center, Center for Health Policy Research, 2 v., exec. summ. (2 pp.).
Annotation: This two volume report presents the results of a study that examined the Medicaid managed care contracts of 37 states to assess the structure and content of those contracts and to extrapolate the key issues affecting Medicaid managed care. Volume 1 presents the findings of the study and makes recommendations for future policies. It focuses on these topics: the transformation of Medicaid to Medicaid managed care, the shift from the government as insurer to managed care purchaser, and the legal issues involved. It also considers issues related to the definition of the managed care service system, the process of developing contract language to achieve the administrative requirements, the relationship of Medicaid managed care with the overall health care system including public health, and the adoption of certain business concepts and the creation of the business relationships necessary to deliver services. Volume 2 of this report contains the detailed analyses of each state contract.
Contact: George Washington University, Center for Health Policy Research, 2021 K Street, N.W., Suite 800, Washington, DC 20006, Telephone: (202) 994-4100 Contact Phone: (202) 296-6922 Fax: (202) 994-4040 E-mail: firstname.lastname@example.org Web Site: http://publichealth.gwu.edu/projects/center-health-policy-research $25.00, v. 1; $100.00, v. 2; includes shipping and handling; prepayment required; make checks payable to Center for Health Policy Research/GWU.
Keywords: Contract services, Decentralization, Government role, Health care reform, Health care systems, Legal issues, Medicaid managed care, Policy development, Public policy, State initiatives, Trends