You are not currently logged in.
Access your personal account or get JSTOR access through your library or other institution:
If You Use a Screen ReaderThis content is available through Read Online (Free) program, which relies on page scans. Since scans are not currently available to screen readers, please contact JSTOR User Support for access. We'll provide a PDF copy for your screen reader.
Commercial Health Plan Participation in Medicaid Managed Care: An Examination of Six Markets
Teresa A. Coughlin, Sharon K. Long and John Holahan
Vol. 38, No. 1 (Spring 2001), pp. 22-34
Published by: Sage Publications, Inc.
Stable URL: http://www.jstor.org/stable/29772931
Page Count: 13
Since scans are not currently available to screen readers, please contact JSTOR User Support for access. We'll provide a PDF copy for your screen reader.
Preview not available
This study examines six local health care markets to gain a better understanding of the factors associated with the decision by commercial plans to participate in Medicaid managed care (MMC). Findings suggest that no single factor explained why plans chose to participate in MMC in a particular market. Instead, a combination of factors—generally economic but not always—determined whether a plan participated. While rate adequacy was central, it was not the only factor. Results indicate that it is capitation rates relative to other factors (such as provider costs, administrative costs, enrollment volume, growth opportunities in other markets) that matter rather than simply the level of rates.
Inquiry © 2001 Sage Publications, Inc.