Accession Number : ADA256866


Title :   Setting Capitations for Medicaid: A Case Study


Corporate Author : RAND CORP SANTA MONICA CA


Personal Author(s) : Leibowitz, Arleen ; Buchanan, Joan L


Full Text : https://apps.dtic.mil/dtic/tr/fulltext/u2/a256866.pdf


Report Date : Nov 1990


Pagination or Media Count : 10


Abstract : This article examines the methodology New York State used to set capitation rates for a Medical health maintenance organization. By examining the methods used and the assumptions made in a particular case, some general lessons are drawn about the ratesetting process. Greater reliance on statewide data to assure fair and statistically stable estimates is needed. Although the article focuses on one State and its ratesetting for one particular plan (Health Care Plus), the issues raised have general interest for other plans for other States concerned with the setting of capitation rates for Medicaid enrollees in prepaid plans.


Descriptors :   *COST ANALYSIS , *NEW YORK , *COSTS , *MEDICAL SERVICES , REPRINTS , HEALTH CARE FACILITIES , STATE GOVERNMENT


Subject Categories : Economics and Cost Analysis
      Medicine and Medical Research


Distribution Statement : APPROVED FOR PUBLIC RELEASE