Systematic Review of Managed Care Medicaid Outcomes Versus Fee-for-Service Medicaid Outcomes for Youth in Foster Care.

11 The article’s broader conclusions, extending beyond just child welfare cases, reveal a significant trend: expenses are increasingly being redirected to services funded by child welfare budgets, rather than those covered by health insurance plans. 11 Total expenditures decreased by 16%, while residential costs increased by 13%. 11 These findings suggest expenditure patterns indicative of cost substitutions for services not covered by MMC. 11 Snowden, Cuellar, and Libby (2003) 12 examined if there are varying effects of transitioning youth in foster care to MMC by race.

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