The Evolution of Medicaid Managed Care Systems and Eligibility Expansions in Section 1115 Projects

Looks at expansion of Medicaid managed care in Tennessee, Hawaii, Rhode Island, Oklahoma, and Maryland, noting that projects were controversial and chaotic in the beginning but matured with time. Tennessee reduced uninsurance rates for low-income groups. In addition, quality assurance systems developed gradually but still need improvement, and capitation rates need to be assessed periodically to make sure they remain adequate.