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Incentives in a Specialty Care Carve-Out

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Publication Date: January 2001

Publisher(s): Pardee Rand Graduate School

Author(s): Moira Inkelas

Topic: Health (Health care financing)

Type: Report


This study examines the impact of a payment strategy for specialty services in a transition to Medicaid managed care. It presents results from a natural experiment created when California expanded participation in Medicaid managed care, and excluded certain specialty services for children with qualifying medical diagnoses. The study describes the policy's impact on caseloads and expenditures and includes a qualitative evaluation.