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Comprehensive health reform holds great potential for substantially improving the quality and efficiency of health care. Yet the budget shortfalls that many states are facing, along with the forthcoming health reform initiatives and potential Medicaid expansion, put pressure on Medicaid directors to contain costs while improving program performance and addressing the needs of a growing number of Medicaid beneficiaries. With effective approaches for managing the health of the Medicaid population, states can both improve health outcomes and reduce overall program spending.
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