As states enroll more and more of their Medicaid population into managed care programs, they are confronted with numerous challenges, among them, how to construct enrollment and disenrollment systems that serve the needs of Medicaid beneficiaries and allow states to better manage their programs. As part of a larger project undertaken by Cornell University and funded by The Pew Charitable Trusts, this National Academy for State Health Policy paper examines enrollment and disenrollment practices and outcomes in seven state Medicaid managed care programs.
This paper is based on site visits made in the winter of 1997 to seven states: Delaware, Indiana, Michigan, Oregon, Rhode Island, Utah, and Wisconsin. In each state, interviews were conducted with repesentatives of Medicaid (and sometimes other) agencies, enrollment brokers, health plans, and consumers. The seven states included in this rport were selected in an effort to represent a range of enrollment policies and experience.