Date of Award

2005

Degree Type

Dissertation

First Advisor

Paul Larrat

Abstract

Recipient restriction, defined as the locking-in of Medicaid recipients who tend to doctor or pharmacy "shop" into one specific provider and/or pharmacy, has been utilized by State Medicaid agencies and Medicaid managed care organizations as a measure to not only control misutilization and overutilization of Medicaid services through the reduction of unnecessary or inappropriate services, but also to better manage and improve members' quality of care. The objectives of this research was three-fold: to document the prevalence of recipient restriction programs in State Medicaid agencies and Medicaid managed care organizations (MCO); examine the impact these programs have as a measure to control misutilization and overutilization of Medicaid services; and provide an analysis of recipient restriction in a Northeastern Medicaid Managed Care Organization (NMMCO) through the analysis of both medical and pharmacy claims data and document the effect the program has as a cost-savings measure to the organization. The ultimate goal of this research was to examine recipient restriction at the national level, focusing on Medicaid managed care with a detailed analysis of a single Medicaid MCO.

Share

COinS
 
 

To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.