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Medicaid: States' Efforts to Educate and Enroll Beneficiaries in Managed Care

HEHS-96-184 Published: Sep 17, 1996. Publicly Released: Oct 29, 1996.
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Highlights

Pursuant to a congressional request, GAO provided information on state efforts to enroll Medicaid beneficiaries in managed care, focusing on: (1) the role of managed care organizations (MCO) in marketing and expanding managed care participation; (2) the types of marketing and enrollment abuses that have occurred and states' efforts to curb these abuses and ensure that beneficiaries are informed about their health plan options; and (3) state efforts to measure the effectiveness of their education and enrollment approaches.

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BeneficiariesHealth care programsHealth insurance cost controlHealth maintenance organizationsHealth resources utilizationHealth services administrationManaged health careMedicaidProgram abusesState-administered programsConfidential information