Massachusetts Medicaid and the Community Medical Alliance: a new approach to contracting and care delivery for Medicaid-eligible populations with AIDS and severe physical disability.
Copyright policy )Massachusetts Medicaid and the Community Medical Alliance: a new approach to contracting and care delivery for Medicaid-eligible populations with AIDS and severe physical disability.
This paper discusses the origins and experiences of the Community Medical Alliance (CMA), a Boston-based clinical care system that contracts with the Massachusetts Medicaid program on a fully capitated basis to pay for and deliver a comprehensive set of benefits to individuals with advanced AIDS and individuals with severe disability. Since 1992, the program has enrolled 818 individuals with either severe disability, AIDS, mental retardation, or general SSI-qualifying disability. Under a fee-for-service system, these two groups had received fragmented care. The capitated CMA program emphasizes patient education and self-management strategies, social support and mental health services, and a team approach to healthcare delivery that has reoriented care to primary care physicians, homes, and communities.
Acquired Immunodeficiency Syndrome, Persons with Disabilities, Medicaid, Disease Management, Eligibility Determination, Social Support, Contract Services, Community Networks, United States, Self Care, Massachusetts, Patient Education as Topic, Patient Satisfaction, Health Status Indicators, Capitation Fee, Program Evaluation
Acquired Immunodeficiency Syndrome, Persons with Disabilities, Medicaid, Disease Management, Eligibility Determination, Social Support, Contract Services, Community Networks, United States, Self Care, Massachusetts, Patient Education as Topic, Patient Satisfaction, Health Status Indicators, Capitation Fee, Program Evaluation
selected citations These citations are derived from selected sources.This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).9 popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.Average influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).Top 10% impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.Average
Citations provided by BIP!Popularity provided by BIP!