CHCS - Center for Health Care Strategies

Improving the quality and cost-effectiveness of publicly financed health care

Understanding the Influence of Publicly Traded Health Plans on Medicaid Managed Care

Type:
Resource Papers
Author:
Robert Hurley, Michael McCue, Virginia Commonwealth University; Mary Beth Dyer, Michael Bailit, Bailit Health Purchasing, LLC
Published:
November 2006
Funder:
Robert Wood Johnson Foundation

Publicly traded plans have become increasingly important players in the Medicaid managed care market in a number of states. A CHCS-commissioned study, conducted by a team led by Robert Hurley, PhD, Virginia Commonwealth University, examines the influence of publicly traded (multi-state, investor-owned) health insurance plans on Medicaid managed care programs.

 

The study looks at market trends, financial and non-financial performance measures, and the opinions of state officials and health plan executives in states with high participation of publicly traded managed care companies. The authors conclude that publicly-traded plans, by virtue of their size, infrastructure, and resources, have stabilized and strengthened the Medicaid system, providing states with options to expand and enhance programs.

 

This is the fourth in a series of CHCS reports exploring the evolving managed care industry within publicly financed care. All four of the reports were made possible by grants from the Robert Wood Johnson Foundation.

 

The additional three reports are available for download below.

 

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