Document Type

Policy Brief

Publication Date



Disability and Aging, Cutler Institute, USM Aging Initiative, Policy


Managed care is a fundamental shift from the historical fee-for-service payment systems. It provides opportunities for states to transform the delivery and financing of Medicaid financed services and promote and reward improved care outcomes. Implementation of such programs requires thoughtful planning, active stakeholder engagement and an effective administrative infrastructure to manage and operate in a value based purchasing environment.


This Research & Policy brief was prepared for the Health Care Forum of the Policy Leaders Academy, a nonpartisan educational program for Maine Legislators. The Health Care Forum is sponsored in partnership with the Muskie School of Public Service at the University of Southern Maine and the Margaret Chase Smith Policy Center at the University of Maine. The Policy Leaders Academy is a program of the Maine Development Foundation and sponsored by the Maine Health Access Foundation.