Access and Use of Health Care Vary by Type of Medicaid Managed Care Program

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Different types of Medicaid managed care (MMC) programs—mandatory HMOs, primary care case management (PCCM) programs, and combination HMO/PCCM programs—affect beneficiaries’ access to and use of health care services in different ways, according to research at the Urban Institute by Stephen Zuckerman, Ph.D., Niall Brennan, and Alshadye Yemane. “The study shows that state decisions about which type of Medicaid managed care program to implement and who to include in mandatory enrollment will significantly influence a program’s effect,” says Zuckerman.