Forum Session

Primary Care Case Management: Lessons for Medicare?
October 5, 2001


Lisa Sprague, MBA


This Forum session looked at primary care case management (PCCM) as a tool that states have used to manage the delivery of care to their Medicaid populations, an alternative to contracting with commercial managed care plans. (States had found PCCM a flexible means of advancing state policy goals, including quality improvement, disease management, and coverage of special-needs populations.) The speakers considered provider and beneficiary perspectives on PCCM as well as state agency objectives and accomplishments and explored the question of adapting the PCCM model for Medicare.


Vernon Smith, PhD, Principal, Health Management Associates; L. Allen Dobson Jr., MD, President, Cabarrus Family Medicine, and Medical Director, North Carolina ACCESS II and III; Rebecca Pasternik-Ikard, Director, SoonerCare and Care Management Services, Oklahoma Health Care Authority; Christine Nye, Senior Vice President, Medicare and Medicaid Development, Schaller Anderson, Inc.; Robert Berenson, MD, Senior Advisor, Academy for Health Services Research and Health Policy

Related Materials

More information available in the accompanying publication, Issue Brief No. 768.

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