Table 1.
Medicaid Managed Care Plan Type and Penetration Rates by State, 1997
| Number of Plans by Type* | Managed Care Penetration (%)** | ||||||
|---|---|---|---|---|---|---|---|
| Comprehensive MCO | Medicaid Only | PHP | Other | PCCM | Full Risk | PCCM | |
| New York | 21 | 17 | 8 | 2 | 1 | 27 | 1 |
| Pennsylvania | 5 | 5 | 3 | 0 | 2 | 39 | 16 |
| Wisconsin | 18 | 3 | 6 | 2 | 0 | 48 | 0 |
| Tennessee | 9 | 0 | 2 | 0 | 0 | 100 | 0 |
Data reported as of June 30, 1998.
Source: http://www.cms.hhs.gov/medicaid/managedcare/plantyp8.pdf. Definitions of plan types can be found at http://www.cms.hhs.gov/medicaid/managedcare/nsglos99.pdf
PHP = Prepaid Health Plan
PCCM = Primary Care Case Management
MCO = Managed Care Organization
Percent of Medicaid enrollment, reported as of June 30, 1997.
Source:http://newfederalism.urban.org/html/occa26.html. Managed care data do not include mental health, dental, transportation, home or community-based waivers, or other limited service programs. Full-risk HMO plans are fully capitated for a comprehensive set of services (they typically include comprehensive MCOs and Medicaid-only MCOs).