Health Affairs

Health Affairs, 22, no. 3 (2003): 159-167 doi: 10.1377/hlthaff.22.3.159 © 2003 by Project HOPE	New Online   Getting Health Reform Done   After the State of the Union   Incremental Reform   E-Health in Developing World   Most-Read Articles in 2009

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Provider Risk Sharing In Medicaid Managed Care Plans

Debra A. Draper and Marsha R. Gold

Provider risk sharing was common throughout the 1990s. Recent evidence suggests waning interest, although no information exists that is specific to Medicaid. This paper examines risk-sharing arrangements in Medicaid managed care through a survey of participating plans in eleven states conducted during 2001. Risk sharing is prevalent among Medicaid-participating plans and often involves traditional providers. The "flight from risk" that others describe is not yet apparent in Medicaid, but Medicaid’s idiosyncrasies might mean that trends appearing in other lines of business do not apply.

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