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How Care Management, Risk Stratification Cuts Medicaid Spending
Health Payer Intelligence September 17, 2019
– Better care management and risk stratification can help state Medicaid agencies cut spending on high-cost patients, according to a recent report from the Government Accountability Office (GAO).
Looking at four states with Medicaid programs that historically treat high-cost populations, the GAO report outlined key strategies each state used to cut expenses. The deep dive into Medicaid programs in Pennsylvania, South Dakota, Vermont, and Washington revealed that risk stratification and managed care programs can be helpful in addressing high-risk patient populations.
These four states had 50 to 59.9 percent federal matching (FMAP) income, meaning they were among the states with the lowest amount of federal matching for their Medicaid programs, according to a Kaiser Family Foundation (KFF)...
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