The American journal of managed care
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Innovative, cost-neutral plan designs that cover more essential services on a predeductible basis, while decreasing exposure to and spending on harmful care, would better meet the clinical and financial needs of millions of Americans.
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Pragmatic Clinical Trial
Impact of complex care management on spending and utilization for high-need, high-cost Medicaid patients.
Complex care management programs have emerged as a promising model to better care for high-need, high-cost patients. Despite their widespread use, relatively little is known about the impact of these programs in Medicaid populations. This study evaluated the impact of a complex care management program on spending and utilization for high-need, high-cost Medicaid patients. ⋯ Carefully designed and targeted complex care management programs may be an effective approach to caring for high-need, high-cost Medicaid patients.
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The authors of "CMS HCC Risk Scores and Home Health Patient Experience Measures" respond to a letter to the editor.