There has been three decades of discussion about the "pros and cons" of managed care models serving populations with more complex needs. Regardless of the discussion, the evolution of managed care has moved ahead. Of the more than 80.8 million Medicaid beneficiaries, about 85%, or 67.8 million, were enrolled in some form of Medicaid managed care, with 86% enrolled in a comprehensive Medicaid managed care organization (see About 85% Of Medicaid Beneficiaries Enrolled In Managed Care). Sixty-six percent of consumers with I/DD have their health services provided by health plans (see Enrollment Of The Medicaid I . . .

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