Overview and implications of medicaid managed care for people with devopmental disabilities

Theodore A. Kastner, K. K. Walsh, T. Criscione

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

The inclusion of people with developmental disabilities in managed care as part of general efforts by states to enroll all Medicaid recipients in such plans was reviewed. Managed care was defined and the processes by which managed care organizations deliver services were explained. Escalating costs and utilization were discussed as the primary reason for the shift to managed care. The use of Medicaid Section 1115 waivers by states to include Medicaid recipients was explored. The relation between acute health care and long- term care, and the utilization patterns in each, were briefly described. Finally, elements of managed care that are particularly important to people with developmental disabilities, such as care coordination, maintenance of quality, and individual and family support, were discussed.

Original languageEnglish (US)
Pages (from-to)257-269
Number of pages13
JournalMental Retardation
Volume35
Issue number4
StatePublished - 1997
Externally publishedYes

Fingerprint

Medicaid
Managed Care Programs
Disabled Persons
managed care
disability
Developmental Disabilities
recipient
utilization
Long-Term Care
inclusion
Organizations
health care
Delivery of Health Care
Costs and Cost Analysis
costs

ASJC Scopus subject areas

  • Rehabilitation
  • Health Professions(all)
  • Education

Cite this

Kastner, T. A., Walsh, K. K., & Criscione, T. (1997). Overview and implications of medicaid managed care for people with devopmental disabilities. Mental Retardation, 35(4), 257-269.

Overview and implications of medicaid managed care for people with devopmental disabilities. / Kastner, Theodore A.; Walsh, K. K.; Criscione, T.

In: Mental Retardation, Vol. 35, No. 4, 1997, p. 257-269.

Research output: Contribution to journalArticle

Kastner, TA, Walsh, KK & Criscione, T 1997, 'Overview and implications of medicaid managed care for people with devopmental disabilities', Mental Retardation, vol. 35, no. 4, pp. 257-269.
Kastner, Theodore A. ; Walsh, K. K. ; Criscione, T. / Overview and implications of medicaid managed care for people with devopmental disabilities. In: Mental Retardation. 1997 ; Vol. 35, No. 4. pp. 257-269.
@article{66571802bde94d01b616b6bc66805649,
title = "Overview and implications of medicaid managed care for people with devopmental disabilities",
abstract = "The inclusion of people with developmental disabilities in managed care as part of general efforts by states to enroll all Medicaid recipients in such plans was reviewed. Managed care was defined and the processes by which managed care organizations deliver services were explained. Escalating costs and utilization were discussed as the primary reason for the shift to managed care. The use of Medicaid Section 1115 waivers by states to include Medicaid recipients was explored. The relation between acute health care and long- term care, and the utilization patterns in each, were briefly described. Finally, elements of managed care that are particularly important to people with developmental disabilities, such as care coordination, maintenance of quality, and individual and family support, were discussed.",
author = "Kastner, {Theodore A.} and Walsh, {K. K.} and T. Criscione",
year = "1997",
language = "English (US)",
volume = "35",
pages = "257--269",
journal = "Intellectual and Developmental Disabilities",
issn = "1934-9491",
publisher = "American Association on Intellectual and Developmental Disabilities",
number = "4",

}

TY - JOUR

T1 - Overview and implications of medicaid managed care for people with devopmental disabilities

AU - Kastner, Theodore A.

AU - Walsh, K. K.

AU - Criscione, T.

PY - 1997

Y1 - 1997

N2 - The inclusion of people with developmental disabilities in managed care as part of general efforts by states to enroll all Medicaid recipients in such plans was reviewed. Managed care was defined and the processes by which managed care organizations deliver services were explained. Escalating costs and utilization were discussed as the primary reason for the shift to managed care. The use of Medicaid Section 1115 waivers by states to include Medicaid recipients was explored. The relation between acute health care and long- term care, and the utilization patterns in each, were briefly described. Finally, elements of managed care that are particularly important to people with developmental disabilities, such as care coordination, maintenance of quality, and individual and family support, were discussed.

AB - The inclusion of people with developmental disabilities in managed care as part of general efforts by states to enroll all Medicaid recipients in such plans was reviewed. Managed care was defined and the processes by which managed care organizations deliver services were explained. Escalating costs and utilization were discussed as the primary reason for the shift to managed care. The use of Medicaid Section 1115 waivers by states to include Medicaid recipients was explored. The relation between acute health care and long- term care, and the utilization patterns in each, were briefly described. Finally, elements of managed care that are particularly important to people with developmental disabilities, such as care coordination, maintenance of quality, and individual and family support, were discussed.

UR - http://www.scopus.com/inward/record.url?scp=0030800362&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030800362&partnerID=8YFLogxK

M3 - Article

C2 - 9270234

AN - SCOPUS:0030800362

VL - 35

SP - 257

EP - 269

JO - Intellectual and Developmental Disabilities

JF - Intellectual and Developmental Disabilities

SN - 1934-9491

IS - 4

ER -