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


#1

Hi,

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.

Best,

Tim


#2

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.