GAO-19-569: Efforts To Identify, Predict, Or Manage High-Expenditure Beneficiaries

On August 8, 2019, the United States Government Accountability Office (GAO) released this report to congressional requesters regarding Medicaid efforts to identify, predict, or manage high-expenditure beneficiaries. This report describes approaches selected states used to identify or predict high-expenditure Medicaid beneficiaries; strategies selected states used to manage beneficiaries’ health care costs while ensuring quality of care; and resources CMS provided to states to help them identify, predict, or better manage high-expenditure beneficiaries . . .