The impact of Medicaid managed care on community clinics in Sacramento County, California.
- 1 June 1999
- journal article
- Published by American Public Health Association in American Journal of Public Health
- Vol. 89 (6) , 913-917
- https://doi.org/10.2105/ajph.89.6.913
Abstract
OBJECTIVES: The purpose of this study was to determine the impact of countywide Medicaid managed care on service use at community clinics. METHODS: Clinic use before and after introduction of Medicaid plans in one county was compared with that in a group of comparable counties without such plans. RESULTS: There were significant declines of 40% to 45% in the volumes of Medicaid clients, encounters, and revenues at clinics with the introduction of Medicaid plans. Declines of 23% in uninsured clients and encounters did not differ significantly. CONCLUSIONS: The introduction of Medicaid managed care with multiple commercial plans can have significant negative effects on nonprofit community clinics.Keywords
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