There are three key elements to understanding the impact of Medicaid financing arrangements in any state. These three elements include the financing mechanism, the services provided under the financing arrangement, and the populations included in the arrangement. Generally, there are three financing mechanisms for the delivery of Medicaid benefits: fee-for-service (FFS), primary care case management (PCCM), and managed care. The percentage of Medicaid beneficiaries in managed care has changed dramatically since 2010, when only 49% of the Medicaid population was enrolled in managed care. In 2018, 73% of Medicaid beneficiaries were enrolled in comprehensive managed care organizations – an . . .
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