Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 1989 Winter;11(2):81-97.

Evaluation of the Medicaid competition demonstrations

D A Freund, L F Rossiter, P D Fox, J A Meyer, R E Hurley, T S Carey, J E Paul

Evaluation of the Medicaid competition demonstrations

D A Freund et al. Health Care Financ Rev. 1989 Winter.

Abstract

In 1983, the Health Care Financing Administration funded a multiyear evaluation of Medicaid demonstrations in six States. The alternative delivery systems represented by the demonstrations contained a number of innovative features, most notably capitation, case management, limitations on provider choice, and provider competition. Implementation and operation issues as well as demonstration effects on utilization and cost of care, administrative costs, rate setting, biased selection, quality of care, and access and satisfaction were evaluated. Both primary and secondary data sources were used in the evaluation. This article contains an overview and summary of evaluation findings on the effects of the demonstrations.

PubMed Disclaimer

Figures

Figure 1
Figure 1. Service delivery expenditures, by demonstration and comparison sites: Medicaid Competition Demonstrations, 1983
Figure 2
Figure 2. First-year administrative costs per eligible and per eligible per month, by demonstration sites: Medicaid Competition Demonstrations, 1983
Figure 3
Figure 3. Percent of respondents expressing satisfaction with their current care, by demonstration and comparison sites in California and Missouri: Medicaid Competition Demonstrations, 1983
Figure 4
Figure 4. Percent of respondents reporting perception of off-hour availability, by demonstration and comparison sites in California: Medicaid Competition Demonstrations, 1983
Figure 5
Figure 5. Percent of respondents reporting perception of off-hour availability, by demonstration and comparison sites in Missouri: Medicaid Competition Demonstrations, 1983
Figure 6
Figure 6. Percent of deliveries with birth weights of less than 2,500 grams, by demonstration and comparison sites in California and Missouri: Medicaid Competition Demonstrations, 1983
Figure 7
Figure 7. Percent of deliveries with prenatal care in first trimester of pregnancy, by demonstration and comparison sites in California and Missouri: Medicaid Competition Demonstrations, 1983
Figure 8
Figure 8. Percent of children with basic immunization series at 1 year of age, by demonstration and comparison sites in California and Missouri: Medicaid Competition Demonstrations, 1983
See this image and copyright information in PMC

References

    1. Anderson MD, Fox PD. Lessons learned from Medicaid managed care approaches. Health Affairs. 1987 Spring;6(1):71–86. - PubMed
    1. Freund DA. Private delivery of Medicaid services: Lessons for administrators, providers, and policy makers. Journal of Ambulatory Care Management. 1986 May;9(2):54–65. - PubMed
    1. Freund DA. Competitive health plans and alternative payment arrangements for physicians in the United States: Public sector examples. Health Policy. 1987;7:163–173. - PubMed
    1. Freund DA, Hurley RE. Managed care in Medicaid: Selected issues in program origins, design, and research. Annual Review of Public Health. 1987;8:137–163. - PubMed
    1. Freund DA, Hurley RE, Paul JE, et al. Interim findings from the Medicaid Competition Demonstrations. In: Scheffler RM, Rossiter LF, editors. Advances in Health Economics Research. Vol. 10. Greenwich, Conn.: JAI Press, Inc.; 1989. - PubMed

Publication types

LinkOut - more resources