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. 1999 Jun;89(6):913–917. doi: 10.2105/ajph.89.6.913

The impact of Medicaid managed care on community clinics in Sacramento County, California.

C C Korenbrot 1, G Miller 1, J Greene 1
PMCID: PMC1508658  PMID: 10358686

Abstract

OBJECTIVES: The purpose of this study was to determine the impact of countywide Medicaid managed care on service use at community clinics. METHODS: Clinic use before and after introduction of Medicaid plans in one county was compared with that in a group of comparable counties without such plans. RESULTS: There were significant declines of 40% to 45% in the volumes of Medicaid clients, encounters, and revenues at clinics with the introduction of Medicaid plans. Declines of 23% in uninsured clients and encounters did not differ significantly. CONCLUSIONS: The introduction of Medicaid managed care with multiple commercial plans can have significant negative effects on nonprofit community clinics.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

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