MEDICAID MANAGED CARE AND COMMUNITY PROVIDERS - NEW PARTNERSHIPS

Authors
Citation
Dj. Lipson, MEDICAID MANAGED CARE AND COMMUNITY PROVIDERS - NEW PARTNERSHIPS, Health affairs, 16(4), 1997, pp. 91-107
Citations number
13
Categorie Soggetti
Heath Policy & Services
Journal title
ISSN journal
02782715
Volume
16
Issue
4
Year of publication
1997
Pages
91 - 107
Database
ISI
SICI code
0278-2715(1997)16:4<91:MMCACP>2.0.ZU;2-4
Abstract
Growing enrollment in managed care plans among Medicaid recipients rep resents a new market for these plans but presents challenges to those providers that traditionally have served this population. To continue serving Medicaid patients, community-based providers must develop cont racts or other types of partnerships with Medicaid-contracting health plans. This paper reviews the challenges to such collaboration and dis cusses the practical issues that plans and community-based providers m ust resolve to develop productive working relationships. Keys to succe ssful collaboration are identified. Ways in which federal and state go vernments can help the collaborative process are suggested.