作者：Musso, JA
作者单位：University of Southern California
作者：Johnston, JM; Romzek, BS
作者单位：University of Kansas
摘要：Medicaid reform, which has been central to state government reform throughout the United States, represents conceptual and implementation challenges for practitioners and scholars. This article investigates one such reform, in Kansas, where the state contracted with nonprofit agencies for Medicaid case management services We examine policy rationales for this social service reform in light of the actual economic and management environments. We offer a typology of contract management complexity...
作者：Portz, JH; Reidy, M; Rochefort, DA
作者单位：Northeastern University
摘要：The spread of managed rare is rapidly transforming the nation's health rare system. Less well noted, however, is the way this transformation is also reshaping Medicaid-and other public health-care bureaucracies-across administration internal operations, and policymaking areas. In this article, we examine how managed care has contributed to reinventing government in such bureaucracies, paying particular attention to shifts in organisational mission, competitive contracting, performance measurem...
