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dc.contributor.authorChang, Debbie I.
dc.contributor.authorBurton, Alice
dc.contributor.authorO'Brien, John
dc.contributor.authorHurley, Robert E.
dc.description.abstractThroughout the 1990s, the states launched many large‐scale innovations in health care financing and delivery. The demands associated with designing, implementing, and managing such initiatives compete for those resources needed to evaluate the impact of the innovations. But without a good faith effort to launch a credible evaluation, innovative and controversial programs may not be able to be sustained. Striking a balance between advocating for change and honestly determining how well the desired changes have been achieved is a delicate and daunting task, and state policymakers often do not spend much time evaluating their efforts, even though this may be critical to the success of their programs. This article describes one state's assessment of a statewide, prepaid, Medicaid managed care program. We look at the evaluation as both an exercise in policy analysis and an indication of the response to various constituencies' concerns. Three of us either worked for the state or contracted with the state to help evaluate the program.en_US
dc.format.extent26 pagesen_US
dc.genrejournal articlesen_US
dc.identifier.citationDebbie I. Chang, Alice Burton, John O'Brien, and Robert E. Hurley, Honesty As Good Policy: Evaluating Maryland's Medicaid Managed Care Program, Milbank Q. 2003 Sep; 81(3): 389–414, DOI: 10.1111/1468-0009.t01-1-00061en_US
dc.publisherBlackwell Publishing Ltden_US
dc.relation.isAvailableAtThe University of Maryland, Baltimore County (UMBC)
dc.relation.ispartofOther Hilltop Institute (UMBC) Works
dc.rightsThis item is likely protected under Title 17 of the U.S. Copyright Law. Unless on a Creative Commons license, for uses protected by Copyright Law, contact the copyright holder or the author.
dc.subjectMedicaid managed care programen_US
dc.subjectlarge‐scale innovations in health care financing and deliveryen_US
dc.titleHonesty As Good Policy: Evaluating Maryland's Medicaid Managed Care Programen_US

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