This study updates a 1997 study examining implementation of rural Medicaid managed care programs. Most states operate Medicaid managed care programs for their beneficiaries, but the types of programs vary across urban and rural settings. Over the past four years the number of rural counties covered by Medicaid managed care, including fully capitated programs, has grown, although primary care case management (PCCM) remains the predominant program type in rural areas. Health plan withdrawals from rural areas have led some states with rural capitated programs to provide financial incentives or develop alternative approaches, such as enhanced PCCM programs.
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Medicare Advantage and rural hospital profitability.
J Rural Health
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Department of Health Policy and Management, UNC Gillings School of Global Public Health, The University of North Carolina, Chapel Hill, North Carolina, USA.
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From the Campbell Clinic Department of Orthopaedic Surgery and Biomedical Engineering, University of Tennessee Health Science Center (Dr. Koolmees, Dr. White, Dr. Azar, Dr. Bettin), Memphis, TN, and the Murphy Statistical Services (Mr. Murphy), Warsaw, IN.
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Cost Comparisons of Physician-Ordered Versus Direct-to-Consumer Laboratory Testing.
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