Policy Documents

Moving Beyond Fee for Service: The Case for Managed Care in Medicaid

Michael Ramlet and Carey Lafferty –
June 14, 2011

Fee-for-service (FFS) reimbursement is at the heart of what is wrong with the Medicaid program. By underpaying providers for uncoordinated care, FFS has impaired patient access, led to lower quality outcomes, and hampered efforts to instill greater program accountability. This paper makes the case for moving to managed care in Medicaid to deliver more consistent and higher quality care.