Medicaid Managed Care: Challenge of Holding Plans Accountable Requires Greater State Effort

Pursuant to a congressional request, GAO reviewed state efforts to hold managed care plans accountable for meeting Medicaid program goals and for providing beneficiaries enrolled in capitated managed care plans the care they need, focusing on state efforts to: (1) ensure Medicaid beneficiaries have access to appropriate providers; (2) assess the adequacy of medical care provided through contracted plans; and (3) determine beneficiary satisfaction with plan performance.