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Typically primary case management are paid on a fee-for-service basis plus a monthly case management fee per enrollee, while health maintenance organization plans are paid a capitation rate and are at full financial risk.” (1)

Once implementation of the program began, enrolling and educating the Medicaid population was one of the initial greatest challenges that were faced...

Commercial managed care enrollment grew steadily in the late 1980’s throughout the 1990’s. In comparison, Medicaid’s rate of growth was initially slower and then more rapidly, as shown in the figure below. Although enrollment throughout the 1990’s slowly increased it was extremely difficult to educate Medicaid recipients in the Managed Care HMO insurance carrier rules and regulations...

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