Medicaid managed care report available

Contraceptive Technology Update (CTU) readers may want to obtain the final report, Removing Barriers, Improving Choices: A Case Study in Reproductive Health Services and Managed Care, to provide them with pertinent information about advocating access for Medicaid patients in the managed care environment.

Preliminary information from the report, released by the New York City-based Center for Reproductive Law and Policy’s Focus on Access, Information, and Reproductive Rights (FAIR), was included in a story in CTU’s May 1996 issue concerning family planning’s role in the emerging managed care environment.

While many CTU readers may have requested and received copies of the preliminary report, the final study contains a new chapter and additional new information, notes Shirley Gordon, MS, RN, FAIR director. Family planners have used its information to help negotiate with managed care providers, and to act as advocates in their state’s formation of Medicaid managed care services, Gordon says.

"This document has helped family planners understand what the issues are and present them to their state government so that they can get some things built into the state’s contracts with Medicaid managed care providers," Gordon explains. "And that’s what we’re working toward, to move toward consumer protection, particularly for the most vulnerable Medicaid women, who in many states will be required to enroll in Medicaid managed care programs."

The study focuses on the experiences of female Medicaid recipients in New York state, who were moved into managed care plans in the early 1990s. Many of the women reported failure to receive timely care, a lack of information on their ability to go outside the managed care plan, difficulties in reaching far-away provider sites and pharmacies, and breaches of confidentiality, including release of information on reproductive health services, the study showed.

The center, a nonprofit organization, suggests a $10 donation to cover single-copy printing and mailing costs. To order single or bulk copies, contact: FAIR, Center for Reproductive Law and Policy, 120 Wall St., 18th Floor, New York, NY 10005. Telephone: (212) 514-5534. Fax: (212) 514-5538.