Using MSIS Data to Analyze Medicaid Eligibility and Managed Care Enrollment Patterns in 1999. Tables 7A-7B: Medicaid Managed Care Enrollment by Plan Type Combination and Age Group in December 1999

02/01/2003

Table 7A shows the number of Medicaid beneficiaries, by age group, enrolled in one plan type or plan type combinations in December 1999. The count is unduplicated. Table 7B converts the data in Table 7A to a percent distribution by age cohort.

Findings

  • Of the 18.6 million children under age 21 on Medicaid in December 1999, about 27 percent were only enrolled in HMOs. Another 11 percent were only enrolled in PCCM plans. About 10 percent were enrolled in an HMO and a dental managed care plan, and about 6 percent were enrolled in an HMO and a BHP. Finally, about 4 percent were only enrolled in dental managed care plans.

  • Working-age adults (age 21 to 64) on Medicaid numbered 11.1 million in December 1999. A slight majority of this group (52 percent) were not enrolled in any type of managed care plan. About 15 percent were only enrolled in an HMO. About 8 percent were enrolled in an HMO and a BHP, and about 7 percent were enrolled in an HMO and a dental managed care plan. Another 5 percent were only enrolled in a PCCM plan. Finally, just under 7 percent were only enrolled in dental managed care plans.

  • Among the elderly on Medicaid in December 1999, the vast majority (72 percent) were not enrolled in any form of managed care. About 13 percent were enrolled in dental managed care plans. Another 10 percent were enrolled in HMOs, sometimes in combination with dental plans and/or BHPs.

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