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Purchasing Strategies to Improve Care Management for Complex Populations: A National Scan of State Purchasers

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Publication Date: March 2008

Publisher(s): Center for Health Care Strategies, Inc.

Author(s): Melanie Bella; Chad Shearer; Karen Llanos; Stephen A. Somers

Funder(s): Robert Wood Johnson Foundation

Funder(s): Robert Wood Johnson Foundation

Topic: Health (Health care financing)

Keywords: Health care quality; Care management; Health care financing

Type: Report

Coverage: United States


A small portion of Medicaid beneficiaries with significant health care needs drive the majority of program expenditures. In response, a number of states are developing increasingly sophisticated approaches to improve care and control costs for aged, blind and disabled and Supplemental Security Income (ABD/SSI) populations.

This new CHCS report examines emerging care management approaches in 12 states: California, Indiana, Minnesota, Mississippi, New York, North Carolina, Oklahoma, Pennsylvania, Rhode Island, South Carolina, Texas, and Washington. Interviews with Medicaid officials and select contractors in these states reveal critical insights about how to design care management approaches for beneficiaries with complex health care needs.