PEDIATRICS Vol. 95 No. 4 April 1995, pp. 591-594
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Medicaid Managed Care: Can It Work for Children?

Dana C. Hughes MPH, MS1, Paul W. Newacheck DrPH2, Jeffrey J. Stoddard MD3, and Neal Halfon MD, MPH4

1 Institute for Health Policy Studies, University of California, San Francisco, San Francisco, CA 94109
2 Department of Pediatrics, Institute for Health Policy Studies, University of California, San Francisco, San Francisco, CA 94109
3 Department of Pediatrics, University of Wisconsin Medical School, Madison, WI 53715
4 Department of Pediatrics, School of Medicine, Department of Community Health Sciences, School of Public Health, University of California, Los Angeles, Los Angeles, CA 90024

Medicaid managed care, although not a new concept, has grown in popularity among states in recent years. Between 1987 and 1992, states' total enrollment of Medicaid beneficiaries into managed care plans more than doubled.1 Most Medicaid managed care initiatives focus on the Aid to Families with Dependent Children (AFDC), or welfare, populations. Therefore, it is essential to examine the programs as they relate to low-income children and their families. The purpose of this commentary is to explore the potential impact of the explosion of Medicaid managed care programs on these populations and to predict how they might improve access to care and contain health care costs.

Submitted on May 24, 1994
Accepted on November 4, 1994




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