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June 1999 (Volume 77)
Michael S. Sparer
Lawrence D. Brown
Milbank Memorial Fund
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Nearly every state is encouraging or requiring Medicaid beneficiaries to enroll in managed care delivery systems. In New York City, Medicaid officials began with an incremental, but not insignificant, managed care initiative. Buoyed by its success, New York policy makers tried, and failed, to accelerate the transition to managed care. The legacy of that failure still plagues them. A comparison of such initiatives in other states indicates that most state officials have remembered what New York’s leaders temporarily forgot, namely, that Medicaid managed care is a complex exercise that demands consultation and consensus building.
Author(s): Michael S. Sparer; Lawrence D. Brown
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Volume 77, Issue 2 (pages 205–223) DOI: 10.1111/1468-0009.00131 Published in 1999
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The Milbank Quarterly’s multidisciplinary approach and commitment to applying the best empirical research to practical policymaking offers in-depth assessments of the social, economic, historical, legal, and ethical dimensions of health and health care policy.