Managed Health Care for Medicaid Enrollees: The Philadelphia Model

1 January 1993

journal article
research article
Published by Project MUSE in Journal Of Health Care For The Poor and Underserved

Vol. 4 (3) , 210-218
https://doi.org/10.1353/hpu.2010.0212

Abstract

HealthPASS, a program of capitated managed care for 82,000 Medicaid enrollees in a defined geographic area of Philadelphia, Pennsylvania, is administered by Healthcare Management Alternatives, Inc. (HMA), a minority-owned corporation, under a multiyear contract with the Commonwealth of Pennsylvania. HMA has striven to improve care to this low-income community by mounting innovative campaigns to encourage early access to health care, ongoing health education, and aggressive outreach and follow-up, in addition to specific projects designed to reduce infant mortality, expand Head Start, and bolster pediatric care. The program has been judged independently to provide high-quality service cost-effectively.

Keywords

This publication has 1 reference indexed in Scilit:

Lessons Learned From Medicaid Managed Care Approaches
Health Affairs, 1987