The Medicaid Managed Care Policy Consensus for Welfare Recipients: A Reflection of Traditional Welfare Concerns
Grogan, Colleen M.
Journal of Health Politics, Policy and Law. 1997 Jun; 22(3): 815-838.
An Aid to Families with Dependent Children (AFDC)-Medicaid managed care policy consensus has emerged in the American states. Although there are two main organizational forms -- primary care case management and risk-based capitation models -- states are converging on the risk-based approach for their AFDC recipients. Risk-based Medicaid managed care for AFDC recipients assumes a distinct purpose and meaning. The reform is not just about cost control and improving access but about enduring welfare concerns: deservingness, need, and empowerment. Despite recent federal policies that have essentially severed the eligibility link between AFDC and Medicaid, state policy elites still conceive of poor families on Medicaid as a "welfare" group. Assumptions about the need for behavior modification and the need to integrate this group into "mainstream" America shape perceptions about why Medicaid managed care is appropriate for AFDC-Medicaid recipients.
Accountability; Behavior Control; Behavior Modification; Children; Consensus; Contracts; Case Management; Economics; Evaluation; Forms; Government; Government Financing; Health; Health Care; Health Care Reform; Indigents; Industry; Mandatory Programs; Motivation; Managed Care; Policy Analysis; Primary Health Care; Private Sector; Public Sector; Quality of Health Care; Risk; State Government; Trends;
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