The inclusion of people with developmental disabilities in managed care as part of general efforts by states to enroll all Medicaid recipients in such plans was reviewed.
Managed care was defined and the processes by which managed care organizations deliver services were explained.
Escalating costs and utilization were discussed as the primary reason for the shift to managed care.
The use of Medicaid Section 1115 waivers by states to include Medicaid recipients was explored.
The relation between acute health care and long-term care, and the utilization patterns in each, were briefly described.
Finally, elements of managed care that are particularly important to people with developmental disabilities, such as care coordination, maintenance of quality, and individual and family support, were discussed.
Mots-clés Pascal : Système santé, Soin intégré, Assurance maladie, Economie santé, Arriération mentale, Trouble développement, Article synthèse, Etats Unis, Amérique du Nord, Amérique, Homme, Déficience intellectuelle, Medicaid
Mots-clés Pascal anglais : Health system, Managed care, Health insurance, Health economy, Mental retardation, Developmental disorder, Review, United States, North America, America, Human, Intellectual deficiency
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0435856
Code Inist : 002B18H05B. Création : 19/12/1997.