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Enhanced Primary Care Case Management Programs in Medicaid: Issues and Options for States (Professional Paper)

Author

Listed:
  • James M. Verdier
  • Vivian Byrd
  • Christal Stone

Abstract

This report examines how five states—Oklahoma, North Carolina, Pennsylvania, Indiana, and Arkansas—have enhanced their Medicaid primary care case management (PCCM) programs to provide more intensive care management and care coordination for high-need beneficiaries, improve financial and performance incentives for primary care providers, and increase use of performance and quality measures. The report is aimed at states that may not have the option of contracting with fully capitated at-risk managed care organizations (MCOs), or that may want to use PCCM programs as an option for beneficiaries and as a source of competition and comparison for MCOs.

Suggested Citation

  • James M. Verdier & Vivian Byrd & Christal Stone, 2009. "Enhanced Primary Care Case Management Programs in Medicaid: Issues and Options for States (Professional Paper)," Mathematica Policy Research Reports e381987a9ac54202ac847588e, Mathematica Policy Research.
    • Handle: RePEc:mpr:mprres:e381987a9ac54202ac847588ea890810
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