{"id":"https://openalex.org/W2011758239","doi":"https://doi.org/10.1001/jama.279.3.211","title":"Quality Management by State Medicaid Agencies Converting to Managed Care","display_name":"Quality Management by State Medicaid Agencies Converting to Managed Care","publication_year":1998,"publication_date":"1998-01-21","ids":{"openalex":"https://openalex.org/W2011758239","doi":"https://doi.org/10.1001/jama.279.3.211","mag":"2011758239","pmid":"https://pubmed.ncbi.nlm.nih.gov/9438741"},"language":"en","primary_location":{"id":"doi:10.1001/jama.279.3.211","doi":"https://doi.org/10.1001/jama.279.3.211","is_oa":false,"landing_page_url":"https://doi.org/10.1001/jama.279.3.211","pdf_url":null,"source":{"id":"https://openalex.org/S172573765","display_name":"JAMA","issn_l":"0002-9955","issn":["0002-9955","0098-7484","1538-3598","2376-8118"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5072276755","display_name":"Bruce E. Landon","orcid":"https://orcid.org/0000-0003-4912-0647","observed_orcids":["https://orcid.org/0000-0003-4912-0647"]},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I121934306","https://openalex.org/I1283280774","https://openalex.org/I48633490"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Bruce E. Landon","raw_affiliation_strings":["Brigham and Women's Hospital, Department of Health Care Policy, Harvard Medical School, Boston, MA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Brigham and Women's Hospital, Department of Health Care Policy, Harvard Medical School, Boston, MA, USA","institution_ids":["https://openalex.org/I1283280774","https://openalex.org/I136199984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5059687558","display_name":"Carol R. Tobias","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Carol Tobias","raw_affiliation_strings":["Harvard University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Harvard University","institution_ids":["https://openalex.org/I136199984"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5078864191","display_name":"Arnold M. Epstein","orcid":"https://orcid.org/0000-0003-2374-0311","observed_orcids":["https://orcid.org/0000-0003-2374-0311"]},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Arnold M. Epstein","raw_affiliation_strings":["Harvard University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Harvard University","institution_ids":["https://openalex.org/I136199984"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":26.8707,"has_fulltext":false,"cited_by_count":59,"citation_normalized_percentile":{"value":0.99431891,"is_in_top_1_percent":true,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":95},"biblio":{"volume":"279","issue":"3","first_page":"211","last_page":"211"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9106000065803528,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9106000065803528,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.06880000233650208,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.011800000444054604,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/medicaid-managed-care","display_name":"Medicaid managed care","score":0.9570000171661377},{"id":"https://openalex.org/keywords/state-medicaid-agencies","display_name":"state Medicaid agencies","score":0.9330000281333923},{"id":"https://openalex.org/keywords/quality-of-care-monitoring","display_name":"quality of care monitoring","score":0.7649999856948853},{"id":"https://openalex.org/keywords/quality-assurance","display_name":"quality assurance","score":0.8820000290870667},{"id":"https://openalex.org/keywords/prepaid-health-plans","display_name":"prepaid health plans","score":0.8019999861717224},{"id":"https://openalex.org/keywords/health-care-purchasers","display_name":"health care purchasers","score":0.6159999966621399},{"id":"https://openalex.org/keywords/aid-to-families-with-dependent-children","display_name":"Aid to Families with Dependent Children","score":0.42100000381469727}],"concepts":[{"id":"https://openalex.org/C2776534028","wikidata":"https://www.wikidata.org/wiki/Q1141363","display_name":"Medicaid","level":3,"score":0.9425868988037109},{"id":"https://openalex.org/C2780265253","wikidata":"https://www.wikidata.org/wiki/Q1416012","display_name":"Managed care","level":3,"score":0.7379294633865356},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7360403537750244},{"id":"https://openalex.org/C2777369334","wikidata":"https://www.wikidata.org/wiki/Q6806246","display_name":"Medicaid managed care","level":4,"score":0.7038007974624634},{"id":"https://openalex.org/C106436119","wikidata":"https://www.wikidata.org/wiki/Q836575","display_name":"Quality assurance","level":3,"score":0.5764460563659668},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.5533280372619629},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.5081372261047363},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.47663769125938416},{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.4620359241962433},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.337597131729126},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.3041343092918396},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.11779168248176575},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C2778618615","wikidata":"https://www.wikidata.org/wiki/Q4008393","display_name":"External quality assessment","level":2,"score":0.0},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C111472728","wikidata":"https://www.wikidata.org/wiki/Q9471","display_name":"Epistemology","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D008329","descriptor_name":"Managed Care Programs","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D008484","descriptor_name":"Medicaid","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D008484","descriptor_name":"Medicaid","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D010934","descriptor_name":"Planning Techniques","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013221","descriptor_name":"State Health Plans","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D013221","descriptor_name":"State Health Plans","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017749","descriptor_name":"Total Quality Management","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D019538","descriptor_name":"Health Care Surveys","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1001/jama.279.3.211","doi":"https://doi.org/10.1001/jama.279.3.211","is_oa":false,"landing_page_url":"https://doi.org/10.1001/jama.279.3.211","pdf_url":null,"source":{"id":"https://openalex.org/S172573765","display_name":"JAMA","issn_l":"0002-9955","issn":["0002-9955","0098-7484","1538-3598","2376-8118"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA","raw_type":"journal-article"},{"id":"pmid:9438741","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/9438741","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.8371999859809875}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":11,"referenced_works":["https://openalex.org/W1988563628","https://openalex.org/W1993933743","https://openalex.org/W2008349126","https://openalex.org/W2048054578","https://openalex.org/W2066103954","https://openalex.org/W2151027782","https://openalex.org/W2173331853","https://openalex.org/W2406378451","https://openalex.org/W2416168394","https://openalex.org/W2468132852","https://openalex.org/W4251192517"],"related_works":["https://openalex.org/W159836231","https://openalex.org/W2079325502","https://openalex.org/W2159669170","https://openalex.org/W1992684244","https://openalex.org/W2428627965","https://openalex.org/W7061509017","https://openalex.org/W143340312","https://openalex.org/W2052039973","https://openalex.org/W2035175113","https://openalex.org/W7039504806"],"abstract_inverted_index":{"CONTEXT:":[0],"Enrollment":[1],"in":[2,12,24,47,83,119,208,232,253],"Medicaid":[3,41,44,66,73,108,270,303],"managed":[4,50,86,109,121],"care":[5,23,51,87,122,301],"plans":[6,88],"has":[7],"increased":[8],"more":[9,183],"than":[10,184],"5-fold":[11],"this":[13],"decade,":[14],"but":[15,199],"how":[16],"states":[17,99,116,128,165,175,188,215,240],"monitor":[18],"and":[19,36,61,104,148,154,173,197,297],"encourage":[20],"quality":[21,34,102,263,299],"of":[22,39,78,90,98,186,195,214,239,257,282,300],"these":[25],"programs":[26,296],"is":[27,287,305],"not":[28],"known.":[29],"OBJECTIVE:":[30],"To":[31],"characterize":[32],"the":[33,76,130,135,152,159,187],"monitoring":[35,103,286],"assurance":[37,105],"activities":[38,106],"state":[40,72,292],"agencies":[42,271,293],"for":[43,107,302],"beneficiaries":[45,81,118,242],"enrolled":[46,82,129,151],"comprehensive":[48,84,120],"prepaid":[49,85],"programs.":[52,123],"DESIGN:":[53],"Structured":[54],"telephone":[55],"survey":[56],"conducted":[57],"between":[58],"October":[59],"1996":[60],"January":[62],"1997.":[63,209,233,254],"SETTING:":[64],"State":[65,269],"agencies.":[67],"PARTICIPANTS:":[68],"Representatives":[69],"from":[70,134],"all":[71,114,126],"agencies,":[74],"including":[75],"District":[77],"Columbia,":[79],"with":[80,100,171,243],"as":[89,280],"July":[91],"1,":[92],"1996.":[93],"MAIN":[94],"OUTCOME":[95],"MEASURES:":[96],"Proportion":[97],"specific":[101],"care.":[110,284],"RESULTS:":[111],"We":[112],"surveyed":[113],"34":[115,127],"enrolling":[117],"In":[124,158],"1996,":[125,163],"population":[131],"receiving":[132],"assistance":[133],"Aid":[136],"to":[137,162,204,220,224,228,247,250,261,276,289],"Families":[138],"With":[139],"Dependent":[140],"Children":[141],"(AFDC)":[142],"program,":[143],"while":[144,235],"only":[145],"21":[146],"(62%)":[147],"15":[149],"(44%)":[150],"disabled":[153],"elderly":[155],"populations,":[156],"respectively.":[157],"period":[160],"1995":[161],"19":[164],"(63%)":[166],"collected":[167,177,189],"data":[168,178,190,207,219],"on":[169,179,191],"satisfaction":[170],"care,":[172],"25":[174],"(83%)":[176],"childhood":[180],"immunizations.":[181],"No":[182],"half":[185],"other":[192],"selected":[193],"measures":[194],"access":[196],"quality,":[198],"a":[200],"substantial":[201],"number":[202],"planned":[203,249,295],"collect":[205],"such":[206,230,244],"While":[210],"at":[211,236],"most":[212,237],"37%":[213],"were":[216,226],"providing":[217],"comparative":[218],"health":[221,283],"plans,":[222],"up":[223,246],"80%":[225],"planning":[227],"provide":[229],"information":[231],"Similarly,":[234],"10%":[238],"provided":[241],"information,":[245],"38%":[248],"do":[251],"so":[252],"The":[255],"breadth":[256],"contracting":[258],"requirements":[259],"designed":[260],"assure":[262],"varied":[264],"substantially":[265],"across":[266],"states.":[267],"CONCLUSIONS:":[268],"have":[272],"already":[273],"begun":[274],"adapting":[275],"their":[277],"new":[278],"roles":[279],"purchasers":[281],"Continued":[285],"essential":[288],"ensure":[290],"that":[291,298],"implement":[294],"enrollees":[304],"preserved":[306],"or":[307],"improved.":[308]},"counts_by_year":[{"year":2022,"cited_by_count":2},{"year":2021,"cited_by_count":1},{"year":2019,"cited_by_count":1},{"year":2017,"cited_by_count":1},{"year":2012,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}