The Characteristics and Roles of Medicaid-Dominated Managed Care Plans
This policy brief (Publication #2180) provides a national profile of Medicaid-dominated managed care plans – those in which Medicaid enrollees make up at least 75 percent of total enrollment. While recent policy and market forces have encouraged the growth of these plans, basic information about them has been lacking, partly because many are not licensed as HMOs by states. As of June 1997, 118 of these Medicaid-dominated plans served 3.4 million Medicaid enrollees across the United States – 36 percent of all Medicaid enrollees in full-risk plans. Using data from a subset of 15 high-volume Medicaid managed care states, the brief also presents analysis indicating that Medicaid-dominated plans tend to serve areas with greater concentrations of ethnic minorities, higher levels of poverty, and fewer health care resources.
also of interest
- How Have State Medicaid Expansion Decisions Affected the Experiences of Low-Income Adults? Perspectives from Ohio, Arkansas, and Missouri
- The Uninsured: A Primer - Key Facts About Health Insurance and the Uninsured in America
- Visualizing Health Policy: Health Coverage Under the Affordable Care Act (ACA)
- Current and Emerging Issues in Medicaid Risk-Based Managed Care: Insights from an Expert Roundtable