Health care and the underserved americas poor and managed care a project of the standing committee on health policy american medical student association introduction bringing managed care to the medicaid population by david granger and audrey young md in the 1990s two major trends have marked health care. Medicaid reform a rural perspective the national rural health association nrha is a 22000 member nonprofit organization which is the leading advocate for improved health care for rural america formal organization policy is considered and adopted by the member driven rural health congress and board of trustees. New medicaid rules could ease rural health cares problems a sweeping medicaid change has the potential for states to address the dangerous shortage of doctors outside urban and suburban areas. Medicaid managed care and the rural exception a review of issues and perspectives from the field 77 of the 717 million total medicaid population were enrolled in some form of managed care1 was supplemented with calls to state offices of rural health sorhs state medicaid offices and . Medicaid managed care and the rural exception a review of issues and perspectives from the field the details of medicaid administration vary from state to state this variation is anticipated to increase with new flexibility provided by centers for medicare medicaid services cms eg the addition of work requirements
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