Medicaid Managed Care - U.S. Senate Special Committee on Aging

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TABLE OF CONTENTS
Preface .,........, i
1. DEFINING AND IDENTIFYING CHILDREN WITH SPECIAL HEALTH
NEEDS ............................................................ I
A. Problem Statement ............................................. I
B. Examples of Current Research and Innovative Approaches ...... .......... 2
C. Recommended Activities ......................................... 8
11. FAMILY PARTICIPATION IN MANAGED CARE .............. . 9
A. Problem Statement ............................................. 9
B. Examples of Current Research and Innovative Approaches ..... .......... 10
C. Recommended Activities ......................................... 14
Ill. CAPITATION AND RISK ADJUSTMENT ............................... 16
A. Problem Statement ............................................ 16
B. Examples of Current Research and Innovative Approaches ..... ......... 16
C. Recommended Activities . ...................................... 21
IV. QUALITY OF CARE ............................................. 22
A. Problem Statement ............................................. 22
B. Examples of Current Research and Innovative Approaches ..... .......... 23
C. Recommended Activities ......................................... 30
APPENDIX 1: PARTICIPANT LIST .31
APPENDIX II: BIBLIOGRAPHY .35