Enhanced Primary Care Case Management Programs in Medicaid: Issues and Options for States (Professional Paper)

James M. Verdier, Vivian Byrd and Christal Stone

Mathematica Policy Research Reports from Mathematica Policy Research

Abstract: This report examines how five states—Oklahoma, North Carolina, Pennsylvania, Indiana, and Arkansas—have enhanced their Medicaid primary care case management (PCCM) programs to provide more intensive care management and care coordination for high-need beneficiaries, improve financial and performance incentives for primary care providers, and increase use of performance and quality measures. The report is aimed at states that may not have the option of contracting with fully capitated at-risk managed care organizations (MCOs), or that may want to use PCCM programs as an option for beneficiaries and as a source of competition and comparison for MCOs.

Keywords: Care Coordination Care Management Medicaid Programs Primary Care Case Management; PCCM (search for similar items in EconPapers)
Pages: 50
Date: 2009-09-30
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