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Changes in Health Plans Serving Medicaid, 1993-1996

September/October 1997
Health Affairs, vol.16, no.5 (September/October 1997): 125-133
Suzanne Felt-Lisk, Sara Yang

o better understand the Medicaid managed care market during a period of rapid change, we developed a new data set that links Medicaid enrollment data with health maintenance organization (HMO) industry data for 1993-1996 to analyze Medicaid enrollment in full-risk health plans. Nearly half of the Medicaid enrollees in a fully capitated managed care arrangement were in plans in which Medicaid makes up at least 75 percent of the total enrollment. In addition, the number of Medicaid-only plans has more than doubled since 1993. Commercial-based plans participated increased in Medicaid managed care during the period, yet more than half of the plans entering the Medicaid market were newly formed.

Free access to this article is available at the Health Affairs Web site.


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