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June 1999 (Volume 77)
Quarterly Article
Michael S. Sparer
Lawrence D. Brown
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Nearly every state is encouraging or requiring Medicaid beneficiaries to enroll in managed care delivery systems. In New York City, Medicaid officials began with an incremental, but not insignificant, managed care initiative. Buoyed by its success, New York policy makers tried, and failed, to accelerate the transition to managed care. The legacy of that failure still plagues them. A comparison of such initiatives in other states indicates that most state officials have remembered what New York’s leaders temporarily forgot, namely, that Medicaid managed care is a complex exercise that demands consultation and consensus building.
Author(s): Michael S. Sparer; Lawrence D. Brown
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Volume 77, Issue 2 (pages 205–223) DOI: 10.1111/1468-0009.00131 Published in 1999
