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HEALTH
CARE FINANCING REVIEW/Fall 2002
 Medicaid Managed
Care and Working-Age Beneficiaries with
Disabilities and Chronic Illnesses
Henry T. Ireys,
Ph.D., Craig Thornton, Ph.D., and Hunter McKay
Even after a
decade of study, there are still many questions about how
working-age adults with disabilities or chronic illnesses are
faring in Medicaid managed care. This article draws from recent
research to examine two critical issues: the need for better
outcome measures specific to this population and the importance of
evaluations that accurately estimate program effects, despite
continued policy change, considerable differences among States,
and extreme population diversity. The authors outline a research
agenda that will help policymakers develop a more precise sense of
how managed care practices affect different subgroups of
working-age adults with disabilities and chronic illnesses and how
practices could be altered to improve Medicaid's ability to meet
their needs.
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