THE FEDERAL GOVERNMENT has listed its priorities: reducing federal expenditures
for Medicare by $115 billion by 2002 and broadening the types of coverage
available to Medicare enrollees, a bill of rights for members enrolled in
managed care plans, larger expenditures for biomedical research and development,
and multiyear funding to the states to speed health care coverage for large
numbers of uninsured children.1
The states, in turn, are looking closely at their future spending for
health care services and are speeding the enrollment of Medicaid-eligible
patients into Medicaid managed care plans in the hope and with the expectation
that such action will moderate their future health care outlays, although
there is no firm evidence from any of the larger states that such anticipated
economies can be achieved.2
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