A growing proportion of state and federal health care dollars are spent via managed care, in which government pays private companies to administer insurance coverage on its behalf. Recent reports suggest that as many as 77% of Medicaid beneficiaries are enrolled in some type of managed care plan,1 and Medicare Advantage, which is Medicare’s managed care option, now enrolls nearly a third of Medicare beneficiaries.2
Joynt Maddox KE. Social and Behavioral Determinants of Spending. JAMA Intern Med. 2017;177(10):1431–1432. doi:10.1001/jamainternmed.2017.3325
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