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March 10, 2004

Quality of Care in Medicaid Managed Care vs Commercial Managed Care Plans

Author Affiliations

Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.

JAMA. 2004;291(10):1195-1197. doi:10.1001/jama.291.10.1196-b

To the Editor: Dr Thompson and colleagues1 concluded that "most commercial health plans do not deliver high-quality care" to Medicaid members. However, this conclusion was based on 1999 data for all Medicaid plans reporting to the National Committee for Quality Assurance Quality Compass, which does not represent the status of current plan practices. Also, no adjustment was made for known socioeconomic and ethnic differences between the 2 plans and there was no mention of different benefits and networks—even within the same company.

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