Medicaid health maintenance organizations : can they reduce program spending?
A randomized trial to evaluate the Florida site of the Program for Prepaid Managed Care showed that the plan, a staff model health maintenance organization, was successful in attracting Medicaid enrollees. The evaluation established that the health maintenance organization was able to limit members' utilization. The savings were in the form of lower likelihood of using care. The amount of services received, once care was initiated, was the same in both fee-for-service Medicaid and health maintenance organizations. The authors detected no differences in inpatient use or costs. Additionally, the authors found evidence that the plan attracted sicker than average enrollees, so this reduced utilization translates into Medicaid program savings.
Purchase Print Copy
| Format | List Price | |
|---|---|---|
| Paperback, 15 Pages | Free |  |
Document Details
- Copyright: RAND Corporation
- Availability: Available
- Print Format: Paperback
- Paperback Pages: 15
- List Price: Free
- Document Number: RP-515
- Year: 1996
- Series: Reprints
Originally published in: Medical Care, v. 34, no. 3, pp. 249-263.
This report is part of the RAND Corporation reprint series. This product is part of the RAND Corporation reprint series. RAND reprints present previously published journal articles, book chapters, and reports with the permission of the publisher. RAND reprints have been formally reviewed in accordance with the publisher's editorial policy, and are compliant with RAND's rigorous quality assurance standards for quality and objectivity.
The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.
RAND® is a registered trademark. Copyright © 1994-2013 RAND Corporation.