Pediatric system uses contracts with providers, plans to shape its role in managed Medicaid.

Abstract

Case study: A pediatric provider system seeks control in managed Medicaid. By creating its own provider network, and making some unusual contracting arrangements, Cook Children's Health Care System in Fort Worth, TX, has lowered utilization and even paid bonuses to physicians under its first full-risk contracts with three Medicaid plans. See how this system's providers set themselves up to succeed.