August 2, 2015
For adult Texas Medicaid beneficiaries with disabilities who were enrolled in Medicaid managed care programs that provided home-and- community-based services (HCBS), the quality of chronic disease care linked to acute events improved while that provided during routine encounters appeared unaffected. The beneficiaries had been enrolled in fee-for-service (FFS) or primary care case management (PCCM) before mandatory enrollment in the Texas Medicaid STAR+PLUS managed care plans. Compared to beneficiaries outside the 28 counties transitioned to STAR+PLUS, the STAR+Plus enrollees experienced large and sustained improvements in use of β-blockers after discharge for heart attack (49 . . .
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