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  1. Quality management by state Medicaid agencies converting to managed care : Plans and current practice.

    Article - En anglais

    Context. - Enrollment in Medicaid managed care plans has increased more than 5-fold in this decade, but how states monitor and encourage quality of care in these programs is not known.


    - To characterize the quality monitoring and assurance activities of state Medicaid agencies for Medicaid beneficiaries enrolled in comprehensive prepaid managed care programs.


    - Structured telephone survey conducted between October 1996 and January 1997.


    - State Medicaid agencies.


    - Representatives from all state Medicaid agencies, including the District of Columbia, with beneficiaries enrolled in comprehensive prepaid managed care plans as of July 1,1996.

    Main Outcome Measures

    - Proportion of states with specific quality monitoring and assurance activities for Medicaid managed care.


    - We surveyed all 34 states enrolling beneficiaries in comprehensive managed care programs.

    In 1996, all 34 states enrolled the population receiving assistance from the Aid to Families With Dependent Children (AFDC) program, while only 21 (62%) and 15 (44%) enrolled the disabled and elderly populations, respectively.

    In the period 1995 to 1996,19 states (63%) collected data on satisfaction with care, and 25 states (83%) collected data on childhood immunizations.

    No more than half of the states collected data on other selected measures of access and quality, but a substantial number planned to collect such data in 1997. (...)

    Mots-clés Pascal : Soin intégré, Organisation information, Assurance qualité, Système autorégulation, Stratégie, Homme, Etats Unis, Amérique du Nord, Amérique, Organisation santé, Informatique

    Mots-clés Pascal anglais : Managed care, Information organization, Quality assurance, Monitoring system, Strategy, Human, United States, North America, America, Public health organization, Computer science

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0103134

    Code Inist : 002B30A04D. Création : 22/06/1998.