Rosenbaum, S., Gunsalus, R., Velasquez, M., Jones, S., Rothenberg, S., & Beckerman, J.Z. (2018, March). Medicaid payment and delivery reform: Insights from managed care plan leaders in Medicaid expansion states. Washington, DC: The Commonwealth Fund.

Year: 2018


In this brief, the authors aim to understand MCO experiences in Medicaid expansion states and learn about innovations related to access to care, care delivery, payment, and integration of health and social services to address nonmedical needs. Through interviews with leaders of 17 Managed Care Organizations (MCOs) in 10 states that have seen large Medicaid enrollment growth and have undertaken payment and delivery reforms, several findings related to how MCO leaders work to address the social determinants of health via various strategies (e.g. testing payment models).

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