Can I categorize individuals who have Medicaid by health care delivery type (MCO/PCCM/FFS)?


As you probably already know, some States run their Medicaid programs through Managed Care Organizations (MCOs), while others deliver care through Primary Care Case Management (PCCM) or Fee For Service (FFS). I realize this may be a stretch, but is there any way to categorize individuals who respond that they have Medicaid into one of these three categories? Thanks for help.



Unfortunately there are no IHIS variables that directly identify the delivery type for individuals who have Medicaid. There are a number of health insurance variables that may point to one type more than another, but I am not aware of a consistent way to identify the delivery type. I’m sorry I don’t have better news.