Negotiating the New Health System at Ten: Medicaid Managed Care & the Use of Disease Management Purchasing

May 2008 The purpose of this study was to examine disease management (DM) purchasing by state Medicaid agencies, whether through special DM contracts or as part of broader Medicaid managed care purchasing agreement, either with managed care organizations (MCOs) or other multi-service managed care entities. From a contractual point of view, DM can be purchased as a specific and separate product or as part of an overall MCO contractual arrangement . . .