Managed care and low-income populations: recent state experiences

Published on May 1, 1998in Health Affairs5.711
· DOI :10.1377/hlthaff.17.3.238
Marsha Lillie-Blanton21
Estimated H-index: 21
(Johns Hopkins University),
Barbara Lyons8
Estimated H-index: 8
(Johns Hopkins University)
ABSTRACT: This DataWatch examines the relationship between managed care enrollment and access to care for low-income adults with Medicaid and compares their experience with that of low-income, privately insured managed care enrollees. Medicaid managed care enrollees are more likely than low-income, privately insured managed care enrollees to be poorer, have health problems, and experience access problems. Compared with low-income populations in fee-for-service care, managed care enrollees, whether in Medicaid or privately insured, are not appreciably different in having a usual source of care, having a regular provider, or emergency room use but report more problems in obtaining care and are more likely to be dissatisfied with their health plans.
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