Blueprints for Managed Care

Considers three models: consumer flow, dollar flow, and full model in generic system without at-risk contracting; generic system with full capitation and full transfer of utilization risk; and generic system with partial case-rate funding, shared utilization risk and centralized utilization management. The blueprints of state systems covers: consumer flow, dollar flow and full model in Arizona pre- and post-reform systems; Oregon pre- and post-reform systems; and Washington State pre- and post-reform systems, and a comparison of the three state systems.