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Lessons from a Decade of Diffusion and Confusion
The Transformation from Primary Care Management
The Medicaid Context
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25 programs administrative AFDC AHCCCS ambulatory analysis ancillary approach Assessment capitation payment capitation rate Citicare clinics comparison group Contract County differences eligible emergency department visits enrollees evidence examined expenditures experience findings Freund gatekeeper programs grams Group Health Cooperative HCFA Health Care Financing Health Maintenance Organization Health Plan HealthPASS HMO enrollment hospital Hurley I-IMO impact implementation incentives included initial inpatient Iournal Itasca County levels lower mandatory Medicaid beneficiaries Medicaid managed Medicaid PCCM Medicaid program Medical ment Monterey County outpatient participation patients PCCM programs percent person-level PHPs physi physician services physician visits Prepaid prescription primary care gatekeeping primary care management primary care organization problem Program description program design program effects Program Evaluation program prototypes providers reductions reﬂect reported Research Triangle Institute Research Triangle Park risk-sharing sample selection bias sources tion Type 2 programs typology underreporting utilization versus voluntary programs waiver renewal