Coverage Decision-Making in Medicaid Managed Care: Key Issues in Developing Managed Care Contracts

Authors

Sara J. Rosenbaum, George Washington UniversityFollow
Joel B. Teitelbaum, George Washington UniversityFollow

Document Type

Report

Publication Date

5-1998

Series

Behavioral Health Issue Brief Series No. 1

Keywords

Medicaid & SCHIP; Managed Care Contracting

Abstract

Coverage provisions are the most complex part of any managed care contract. This is particularly true for Medicaid agencies, because of important differences between Medicaid and insurance. This Issue Brief identifies general issues that should be addressed as managed care contracts are developed and drafted, and it specifically explores the challenges faced by public purchasers when drafting managed care coverage provisions.

Comments

Funder: SAMHSA.

Recommended Citation

Rosenbaum, Sara J. and Teitelbaum, Joel B., "Coverage Decision-Making in Medicaid Managed Care: Key Issues in Developing Managed Care Contracts" (1998). Health Policy and Management Issue Briefs. Paper 18.
https://hsrc.himmelfarb.gwu.edu/sphhs_policy_briefs/18

Open Access

1