For real reform, watch the states.
The Medicaid reimbursement system has long been the domain of state actuaries and payment specialists. But it's fast becoming a battering ram for managed care as states gain federal approval to put their billion-dollar programs into the hands of risk-taking HMOs.
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D018166:Health Care Reform / Q000639:trends*; D005102:Health Expenditures / Q000706:statistics & numerical data; D008484:Medicaid / Q000458:organization & administration*; D013221:State Health Plans; D014481:United States