Medicaid Managed Care - U.S. Senate Special Committee on Aging
Medicaid Managed Care - U.S. Senate Special Committee on Aging Medicaid Managed Care - U.S. Senate Special Committee on Aging
694 INTRODUCTION People living with HIV, and their advocates, can be proud of their history of activism in fighting for acces to health carm We have shown a willingness to be vocal on Capitol Hill and in the streets to get our community's health care needs met. With all of its shortcomings and limitations, we must value
ENSUS FOR ACON In examining issues related to
- Page 646 and 647: 644 30. In Massachusetts, for examp
- Page 648 and 649: 646 CHILDREN WITH SPECIAL HEALTH CA
- Page 650 and 651: Prface 648 The U.S. Maternal and Ch
- Page 652 and 653: 650 L DEFINING AND IDENTIFYING CHIL
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- Page 676 and 677: 674 The Practice Parameters Project
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- Page 682 and 683: 680 APPENDIX 1: PARTICIPANT LIST MA
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- Page 686 and 687: 684 APPENDIX H: BIBLIOGRAPHY MANAGE
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ENSUS FOR ACON<br />
In examining issues<br />
related to <str<strong>on</strong>g>Medicaid</str<strong>on</strong>g><br />
managed care, agree.<br />
ment was reached <strong>on</strong><br />
nine key c<strong>on</strong>sensus<br />
points that can serve<br />
to guide the acti<strong>on</strong>s<br />
of people living with<br />
HIV:<br />
695<br />
<str<strong>on</strong>g>Medicaid</str<strong>on</strong>g> managed care is increasingly becoming the reality for<br />
people living with HIV. To protect high quality health care,_<br />
It Is necessary to accept that managed care Is here to stay.<br />
In talking about managed care for people living with HiV, it is very easy to focus <strong>on</strong>ly <strong>on</strong> the problems<br />
that many people face in getting the services they need. It is understandable that some people resp<strong>on</strong>d to<br />
this by advocating against managed care By looking at the factors that have caused public and private<br />
health care programs to embrace managed care it is difficult to believe that any level of advocacy will<br />
prevent health care from being managed. Over the past few decades, health costs have increased at a rate<br />
of inflati<strong>on</strong> greater than that of other goods and services. Our nati<strong>on</strong> spends a growing porti<strong>on</strong> of its<br />
resources (when measured as a percentage of the gross domestic product) <strong>on</strong> health care, and we already<br />
spend far more for health care per capita than any other nati<strong>on</strong>.<br />
We do not believe that working against managed care is a usefls strategy for protecting high-quality<br />
health care for people living with HIV. Instead, we believe that people living with HIM, and their advo-<br />
cares, should recognize the legitimate problem of unc<strong>on</strong>strained cost increases that managed care is<br />
meant to address while also working strenuously to highlightthe problems of access to care that are often<br />
made worse by managed care. We believe that people living with HIV and all <str<strong>on</strong>g>Medicaid</str<strong>on</strong>g> recipients benefit<br />
when real improvements are made in the efficient delivery of health care services, and resources are<br />
reinvested in expanding or improving health care services.<br />
Accepting managed care as a reality-does not mean that people living with HIV must accept poor quality<br />
or inadequate care. Rather, it means that the efforts of people living with HIV, and their advocates, should<br />
be focused <strong>on</strong> learning how managed care works and <strong>on</strong> seeting ways to improve managed care pro-<br />
grams. This should indude efforts to develop financing mechanisms that support the c<strong>on</strong>tinued viability<br />
MA "KIMO MEDICAIO MANAGED CARE WORK AnAtn a. me- l<strong>on</strong>Ra<br />
5efrPrenUitWs<br />
far Po-ol. UlIA. .10 HIV<br />
i