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Enrollment in Capitated Medicaid Plans Increasing

OPEN MINDS The Behavioral Health Industry Analyst Industry News Statistics released by Lewin-VHI and the National Institute for Health Care Management indicate that enrollment in Medicaid full-risk capitation is on the rise. Approximately 4.8 million Medicaid beneficiaries were in full-risk capitation managed care programs as of June 1994, representing nearly 15% of all Medicaid beneficiaries, but only 6.7% of total Medicaid spending. (Of Medicaid beneficiaries enrolled in managed care, more than 60% were in full-risk capitated programs.) In 1994, full-risk capitation programs for Medicaid were available in 27 states, while ten of those . . .

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