Medicaid Reform: U.S. State Government Guide - Making Tough Choices

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Executive Summary

Taking top priority (almost one-third) in annual budgets of many states, Medicaid is still suffering from ineffective management tools that are hindering states' attempts to control costs. For sustained health care reform, states need to make critical choices - what should our program be doing; how expensive should it be; should consumers be engaged; etc. - in deciding what kind of program each state administers. Assessing current Medicaid outcomes, technology and administration will give enough information and drive commitment to make informed decisions about the program's strategy and necessary reform.

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