Health Affairs, 23, no. 6 (2004): 235-242 doi: 10.1377/hlthaff.23.6.235 © 2004 by Project HOPE	New Online   How Would Obama, McCain Cover The Uninsured?   Debating Cost Of Uninsured   Try Medicare-For-All   HA Blog Top 10

This Article Full Text (HTML) Reprint (PDF) Submit a response to this article Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services E-mail this article to a friend Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed Alert me to new issues of the journal Add to My Personal Archive Download to Citation Manager Reprints & Permissions Citing Articles Citing Articles via HighWire Citing Articles via ISI Web of Science (3) Citing Articles via Google Scholar Google Scholar Articles by Schneider, E. C. Articles by Epstein, A. M. Search for Related Content PubMed PubMed Citation Articles by Schneider, E. C. Articles by Epstein, A. M. Related Collections Access To Care Business Of Health Consumer Issues Health Reform Managed Care - Medicaid Medicaid Quality Of Care State/Local Issues Health Spending

DataWatch

Quality Oversight In Medicaid Primary Care Case Management Programs

As health maintenance organizations (HMOs) have curtailed participation in Medicaid, enrollment in primary care case management (PCCM) programs has grown. To examine state Medicaid agencies’ monitoring of PCCM and HMO programs, we surveyed Medicaid agency directors of forty-six states and the District of Columbia. Agencies were less likely to collect performance data in PCCM programs than in HMO programs. Few PCCM programs reported performance results for the public or providers. Reporting states tended to emphasize utilization results over quality-measure results. Despite growing enrollment, PCCM programs appear less likely to use the quality-oversight strategies employed by Medicaid health plans.

                      What's this?

This article has been cited by other articles:

				J. E. DeVoe, A. Baez, H. Angier, L. Krois, C. Edlund, and P. A. Carney Insurance + Access != Health Care: Typology of Barriers to Health Care Access for Low-Income Families Ann. Fam. Med, November 1, 2007; 5(6): 511 - 518. [Abstract] [Full Text] [PDF]

				B. Spitz Medicaid Agencies as Managed Care Organizations: An "Actuarially Sound" Solution? Journal of Health Politics Policy and Law, June 1, 2007; 32(3): 379 - 413. [PDF]

				K. G. Duderstadt, D. C. Hughes, M.-J Soobader, and P. W. Newacheck The Impact of Public Insurance Expansions on Children's Access and Use of Care Pediatrics, October 1, 2006; 118(4): 1676 - 1682. [Abstract] [Full Text] [PDF]