The Impact of Medicaid Managed Care on Essential
With a primary mission to provide care to underserved populations, essential community providers* have long played a crucial role in delivering care to Medicaid beneficiaries. As states have turned increasingly to Medicaid managed care and risk-based contracting, policy makers and advocates for vulnerable populations have worried that a reliance on commercial managed care organizations might, by diverting Medicaid funds away from essential community providers, endanger the future of these providers and, in the process, the health care available to tens of millions of Americans.
* As used here, the term refers to those providers that traditionally serve Medicaid, uninsured, and other underserved or vulnerable populations, including community, migrant, rural and federally qualified health centers; local health departments; public hospitals; hospital-based clinics; school-based health clinics; maternal and child health clinics; mental health centers; Indian Health Service providers; and tribal clinics.
| 1998.Apr_.impact.medicaid.managed.care_.essential.community.providers.pdf | 2.1 MB |

For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 























































































































































