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47 States Planning 2013 Medicaid Cost Containment Initiatives; 42 To Reduce Or Restrict Provider Organization Rates

In 2013, all but three of the 50 states are planning to implement Medicaid cost containment initiatives. In 42 states, cost containment initiatives will target reduction or restrictions to reimbursement rates for provider organizations as a cost control measure. These initiatives target different provider organization types. In 40 states inpatient hospitals are targeted; and in 20 states, nursing home rates are targeted. In three states, physicians are targeted, and in eight states, managed care organization capitation rates are targeted. No states are planning reimbursement cuts for primary care physicians; three are planning cuts for specialists, and two are planning cuts . . .

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