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This study examines the impact of a payment strategy for specialty services in a transition to Medicaid managed care. It presents results from a natural experiment created when California expanded participation in Medicaid managed care, and excluded certain specialty services for children with qualifying medical diagnoses. The study describes the policy's impact on caseloads and expenditures and includes a qualitative evaluation.
Table of Contents
Chapter One
Introduction
Chapter Two
Background on Payment Incentives and Carve-outs
Chapter Three
Background to the Policy Evaluation
Chapter Four
Research Design and Methods
Chapter Five
Impact of Carve-out Policy on Title V Case-Finding
Chapter Six
Impact of Carve-out Policy on Medicaid Expenditures
Chapter Seven
Contextual Analysis of Carve-out Policy
Chapter Eight
Conclusions and Policy Implications
Appendix A
Medi-Cal and County Characteristics
Appendix B
Issues in Tabulation Claim Expenditures and Identifying Unique Claimants
Appendix C
Pre Carve-out Time Trend for Expansion and Non-expansion Counties
Appendix D
Monthly Claimants with Claims in Diagnosis Categories
Research conducted by
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