TY - JOUR
T1 - Technical elements, demonstration projects, and fiscal models in medicaid managed care for people with developmental disabilities
AU - Kastner, T. A.
AU - Walsh, K. K.
AU - Criscione, T.
PY - 1997
Y1 - 1997
N2 - We presented a general model of the structure and functioning of managed care and described elements (provider networks, fiscal elements, risk estimation, case-mix, management information systems, practice parameters, and quality improvement) critical to service delivery for people with developmental disabilities. A number of technical elements of managed care systems were delineated and reviewed in relation to the inclusion of people with developmental disabilities. Several managed care demonstration projects were described and, finally, a multi-year hypothetical budget model, including long-term care, was presented as a framework for considering how managed care affects specific service structures. Implications for people with developmental disabilities were discussed.
AB - We presented a general model of the structure and functioning of managed care and described elements (provider networks, fiscal elements, risk estimation, case-mix, management information systems, practice parameters, and quality improvement) critical to service delivery for people with developmental disabilities. A number of technical elements of managed care systems were delineated and reviewed in relation to the inclusion of people with developmental disabilities. Several managed care demonstration projects were described and, finally, a multi-year hypothetical budget model, including long-term care, was presented as a framework for considering how managed care affects specific service structures. Implications for people with developmental disabilities were discussed.
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U2 - 10.1352/0047-6765(1997)035<0270:TEDPAF>2.0.CO;2
DO - 10.1352/0047-6765(1997)035<0270:TEDPAF>2.0.CO;2
M3 - Review article
C2 - 9270235
AN - SCOPUS:0030847788
SN - 0047-6765
VL - 35
SP - 270
EP - 285
JO - Mental retardation
JF - Mental retardation
IS - 4
ER -