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Rethinking Service Delivery for High-Cost Medicaid Patients

Medicaid Institute at United Hospital Fund, 2009

This policy brief offers a detailed rundown of three different approaches to reduce Medicaid spending in New York. The authors outline an analytic approach, a program approach and a policy approach. According to prior research cited in the article, 10% of Medicaid users account for 57% of the program's spending. The authors also note that "most high-cost Medicaid beneficiaries have diverse combinations of chronic health conditions and acute illnesses," which makes them in many cases eligible for supportive housing. The report was written by James R. Tallon, Jr. and David A. Gould.

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Research category: Health