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Medicaid: Three States' Experiences in Buying Employer-Based Health Insurance

HEHS-97-159 Published: Jul 25, 1997. Publicly Released: Aug 26, 1997.
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Highlights

Pursuant to a congressional request, GAO examined selected states considered to be successful in implementing section 1906 of the Social Security Act, focusing on: (1) the extent to which these states are purchasing employer-based health insurance for Medicaid-eligible individuals and achieving budgetary savings, as well as the potential for greater savings; (2) the cost-effectiveness criteria these states use and the populations and services covered; (3) the outreach efforts used and barriers hindering states' implementation of section 1906; and (4) legislative proposals suggested by others to improve states' efforts.

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Cost effectiveness analysisEmployee medical benefitsHealth care programsHealth insurance cost controlInsurance premiumsProposed legislationState and local procurementState budgetsMedicaidDeductibles and Coinsurance