Academic journal article Health Care Financing Review

Foundation Award Promotes High-Quality Managed Care under Medicaid

Academic journal article Health Care Financing Review

Foundation Award Promotes High-Quality Managed Care under Medicaid

Article excerpt

The Robert Wood Johnson Foundation (RWJF) recently announced a $25-million grant to promote high-quality managed care in the Medicaid program.

The Medicaid Managed Care Program (MMCP) was established with RWJF support in 1995 to improve Medicaid and other health insurance programs for low-income Americans, including the new Children's Health Insurance Programs that were established by the States as a result of the Balanced Budget Act of 1997. A top priority for MMCP is improving access to high-quality managed care, particularly for recipients with chronic illnesses and disabilities, such as pediatric asthma or serious and persistent mental illness. MMCP focuses on managed care because nearly one-half of all Medicaid beneficiaries are enrolled in managed care plans.

RWJF's commitment of $25 million in new funds to its MMCP brings its total commitments to this program to nearly $46 million since 1995. The new grant will support the activities of MMCP for the next 5 years.

"Medicaid is America's principal tool for guaranteeing access to quality health care for her poor and disabled citizens," said Steven A. Schroeder, M.D., RWJF president. "We are confident that MMCP is working to improve care for these Americans, even though the jury is still out on the effect of managed care on Medicaid."

Many States have made enrollment in managed care mandatory for all Medicaid recipients. "This creates challenges for consumers, health plans, clinicians, and State purchasers," said Stephen A. …

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