Efforts To Identify, Predict, Or Manage High-Expenditure Beneficiaries

The U.S. Government Accountability Office conducted a study to assess different strategies used among state and federal programs aimed at enhancing care coordination and managing costs for high-expenditure Medicaid beneficiaries. This report examines the different approaches and strategies used to manage costs and increase quality of care in seven states including Indiana, Nevada, Pennsylvania, South Carolina, South Dakota, Vermont, and Washington. The report also examines different resources the Centers for Medicare & Medicaid Services provided to the states to better identify, predict, and manage this population . . .