PMID: 9185019Jun 1, 1997Paper

The Medicaid managed care policy consensus for welfare recipients: a reflection of traditional welfare concerns

Journal of Health Politics, Policy and Law
C M Grogan

Abstract

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.

Citations

Sep 19, 2001·Health & Social Care in the Community·Barbara Starfield, Thomas Oliver
Feb 14, 2009·Social Work in Public Health·Colleen M Grogan, Michael K Gusmano
Oct 28, 1999·Journal of Health & Social Policy·T Peak, A Barusch
Sep 22, 2020·Journal of Health Politics, Policy and Law·Simon F HaederTimothy Callaghan

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