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Medicaid Managed Care and the Marketplace
Leighton Ku and Sheila Hoag
Vol. 35, No. 3 (Fall 1998), pp. 332-345
Published by: Sage Publications, Inc.
Stable URL: http://www.jstor.org/stable/29772772
Page Count: 14
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In 1994 and 1995, Tennessee, Hawaii, Rhode Island, and Oklahoma began massive expansions of Medicaid managed care, growing from three health plans covering a few enrollees to 27 plans covering the great majority a year later. Some firms aggressively pursued expansion, while others had very limited business objectives. Although established insurers often dominated the Medicaid markets, newly developed firms, some provider-sponsored, were also important. Despite the relatively low Medicaid capitation rates in the 1996—97 period, Medicaid plans in three states had an average 1% net profit margin.
Inquiry © 1998 Sage Publications, Inc.