Journal of Health Care for the Poor and Underserved volume 16, issue 4, P760-779 2005 DOI: 10.1353/hpu.2005.0088 View full text
William P Brandon, Jennifer L Troyer, Rajeshwari Sundaram, Nancy Schoeps, Yanqing Sun, Betsy J Walsh

Abstract: This case-study (n=41,969) of voluntary switching among Mecklenburg County, North Carolina Medicaid managed care plans showed a low switching rate of 14.5 per 100 member-years over 33 months, or 5.3 averaged annually. Population, plan and plan characteristics, claims and telephone survey data were examined to better understand this important behavioral measure. Switching in Medicaid managed care, which is little studied, is contrasted with the extensive literature on middle class switching. Policy implications…

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