April, 1999

Looking Back at the Promises of Medicaid Managed Care

This article was written by the Consumers Union Southwest Regional Office.

In Brief CU Review Determining Utilization & Quality of Care in Managed Care Plans Findings: Access & Quality of Care Data Quality Cost to the State Recommendations Common Acronyms Footnotes

Common Acronyms FFS: Fee-for-service Medicaid FQHC: Federally Qualified Health Centers HEDIS: Health Employer Data and Information Set HMO: Health Maintenance Organization MCO: Managed Care Organization NHIC: National Heritage Insurance Company PCCM: Primary Care Case Management PCP: Primary Care Provider TANF: Temporary Assistance for Needy Families, formerly AFDC TDH: Texas Department of Health THQA: Texas Health Quality Alliance UM Reports: Utilization Management Reports

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