It proposes ways to reduce these risks and highlights current state initiatives already addressing some of these issues. Principles that allow effective co-management between primary care physicians and pediatric specialists are listed. The role of the specialist in managed care also is addressed. Contact the AAP for information about other resource materials addressing the needs of families and physicians in a managed care environment. State reforms that could affect programs for people with disabilities are presented, including states implementing or considering these reforms and their specific impact.
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This article describes state reform efforts utilizing Section 1115 Medicaid waivers as a means to expand health care delivery and control costs through managed care. The positive and negative implications for children are discussed. Examples that may be helpful to other states are highlighted. The report also includes a series of 30 recommendations developed by Maternal and Child Health Bureau's Work Group on Managed Care to address the seven topic areas in the report.