Medicaid Managed Care and the Health Reform Debate: Lessons from New York and California

Journal of Health Politics, Policy and Law

Volumn 21, Issue 3, 1996, Pages

  Sparer, Michael S ^a  

^a Och Spine at New York Presbyterian Hospitals

Author keywords

[No Author keywords available]

Indexed keywords

HEALTH CARE FINANCING; HEALTH CARE MANAGEMENT; HEALTH CARE POLICY; HUMAN; MEDICAID; REVIEW; UNITED STATES;

CALIFORNIA; HEALTH CARE REFORM; HEALTH MAINTENANCE ORGANIZATIONS; HISTORY, 20TH CENTURY; HUMANS; MANAGED CARE PROGRAMS; MEDICAID; NEW YORK; POLITICS; STATE HEALTH PLANS; UNITED STATES;

EID: 0029934605     PISSN: 03616878     EISSN: None     Source Type: Journal    
DOI: 10.1215/03616878-21-3-433     Document Type: Review

References (27)

1. Butler, Patricia A. 1994. Roadblock to Reform: ERISA Implications for State Health Care Initiatives. Washington, DC: National Governors' Association Center for Policy Research.
2. California Department of Health Services. 1985. The Monterey County Health Initiative, 1980-1985: A Preliminary Analysis, June (on file with the author).
3. Chambers, Richard. 1995. Letter dated 26 September from Richard Chambers, of the Federal Department of Health and Human Services, to John Rodriguez, of the California Department of Health Services (on file with the author).
4. Chavkin, David F., and Anne Treseder. 1977. California's Prepaid Health Plan Program: Can the Patient Be Saved? Hastings Law Journal 28:685-760.
5. Congressional Research Service. 1993. Medicaid Source Book: Background Data and Analysis (1993 Update). Washington, DC: U.S. Government Printing Office.
6. Fisher, Ian, and Esther B. Fein. 1995. Forced Marriage of Medicaid and Managed Care Hits Snags. New York Times, 28 August, p. B1.
7. Ginzberg, Eli. 1994. Improving Health Care for the Poor: Lessons from the 1980s. Journal of the American Medical Association, 9 February, p. 465.
8. Gold, Marsha, Hilary Frazier, and Cathy Schoen. 1995. Managed Care and Low-Income Populations: A Case Study of Managed Care in Tennessee. Washington, DC: Henry J. Kaiser Family Foundation and the Commonwealth Fund, July.
9. Health Care Financing Administration. 1994. Report on Medi-Cal Managed Care. San Francisco: Health Care Financing Administration.
10. Holahan, John, Martcia Wade, Michael Gates, and Lynn Tsoflias. 1993. The Impact of Medicaid Adoption of the Medicare Fee Schedule. Health Care Financing Review 14:15.
11. Intergovernmental Health Policy Project. 1994. Health Care Reform: 50 State Profiles. 3d ed. Washington, DC: George Washington University.
12. Kaiser Commission on the Future of Medicaid. 1995. Medicaid and Managed Care: Lessons from the Literature. Washington, DC: Henry J. Kaiser Family Foundation.
13. Leichter, Howard M. 1993. Minnesota: The Trip from Acrimony to Accommodation. Health Affairs 12(2):48-58.
14. Meyer, Jack A. 1991. Case Study of Health Plan of San Mateo. Washington, DC: New Directions for Policy, August (on file with the author).
15. Neubauer, Deane. 1993. Hawaii: A Pioneer in Health Systems Reform. Health Affairs 12(2):31-39.
16. New York State Department of Health and the New York State Department of Social Services. 1984. Report to the Legislature on the Implementation of the Medicaid Reform Act of 1984. New York: New York State Department of Health.
17. New York State Department of Social Services and the Center for Development of Human Services. n.d. Process Review of the Monroe County Medi-Cap Program. Buffalo, NY: Buffalo State College (undated document on file with the author).
18. Prospective Payment Assessment Commission. 1991. Medicaid Hospital Payment Congressional Report. C-91-02. Washington, DC: Prospective Payment Assessment Commission, 1 October.
19. Research Triangle Institute, Center for Health Research. 1988. Nationwide Evaluation of Medicaid Competition Demonstrations. Volume 7: Analysis of Administrative Costs in the Medicaid Competition Demonstrations. HCFA Contract 50-83-500. Research Triangle Park, NC: Research Triangle Institute, 31 May.
20. Rosenthal, Elisabeth. 1995. Albany to Require Improvements in Service by Medicaid H.M.O.'s. New York Times, 17 November, p. A1.
21. Sparer, Michael S. 1993. States in a Reformed Health System: Lessons from Nursing Home Policy. Health Affairs 12(1):8.
22. _. 1996. Medicaid and the Limits of State Health Reform. Philadelphia: Temple University Press.
23. Swan, James, Charlene Harrington, Leslie Grant, John Luehrs, and Steve Preston. 1993. Trends in Medicaid Nursing Home Reimbursement: 1978-89. Health Care Financing Review 14:126.
24. Travelers Insurance Company v. Cuomo, 813 F. Supp. 996 (S.D.N.Y. 1993), aff'd 14 F. 3d 708 (2d Cir. 1994), remanded for reconsideration 115 S. Ct. 1671 (1995).
25. U.S. General Accounting Office. 1974. Better Controls Needed for Health Maintenance Organizations under Medicaid in California. Report # B-164031(3). Washington, DC: U.S. Government Printing Office, September.
26. _. 1975. Deficiencies in Determining Payments to Prepaid Health Plans under California's Medicaid Program. Report # MWD-76-15. Washington, DC: U.S. Government Printing Office, August.
27. _. 1976. Relationships between Nonprofit Prepaid Health Plans with California Medicaid Contracts and For-Profit Entities Affiliated with Them. Report # HRD-77-4. Washington, DC: U.S. Government Printing Office, November.