Heinen L, Fox P D, Anderson M D
United HealthCare Corporation, Minnetonka, MN 55343.
Health Care Financ Rev. 1990 Summer;11(4):55-67.
The Medicaid Competition Demonstrations were initiated in 1983-84 in six States (California, Florida, Minnesota, Missouri, New Jersey, and New York). State experiences in implementing the demonstrations are presented in this article. Although problems of enrolling Medicaid recipients in prepaid plans or with primary care case managers under these demonstrations proved challenging to States, lessons were learned in three key areas: program design and administration, health plan and provider relations, and beneficiary acceptance. Therefore, States considering similar programs in the future could benefit from these findings.
医疗补助竞争示范项目于1983 - 1984年在六个州（加利福尼亚州、佛罗里达州、明尼苏达州、密苏里州、新泽西州和纽约州）启动。本文介绍了各州在实施这些示范项目中的经验。尽管在这些示范项目下，让医疗补助领取者加入预付计划或由初级保健病例管理员管理存在困难，给各州带来了挑战，但在三个关键领域吸取了经验教训：项目设计与管理、健康计划与提供者关系以及受益人接受度。因此，未来考虑实施类似项目的州可以从这些研究结果中受益。
