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Washington State Institute for Public Policy

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Publications

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Identifying Future High-Cost Cases Among Medicaid Recipients With a Severe Disability in Washington State

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Steve Lerch - June 2003

The ability to identify Medicaid recipients who will have high health care expenses in the future is important for targeting cost containment efforts such as coordination of medical care, patient education, and other “case management” techniques.  This report examines two approaches to identifying future high-cost clients among Medicaid recipients with severe disabilities.  The results indicate that over 60 percent of next year’s high-cost clients can be accurately identified from current year data.

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