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High-Cost Medicaid Clients: Targeting Diseases for Case Management

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Steve Lerch, Jim Mayfield - December 2000

The rapid growth of Washington State’s health care expenditures has renewed efforts to contain the state’s health care costs. Of particular interest is the potential to reduce expenditures and improve health outcomes for low-income Medicaid recipients with disabilities or who are over age 65. This paper proposes an approach that uses medical claims data to identify high-cost Medicaid beneficiaries and provide them with case management services to help improve their health status and contain their medical costs.

Report ID: 00-12-3401

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