Using data obtained from 1996-1997 case studies of 13 states, this study examines the influence of states- strategies aimed at increasing federal Medicaid matching dollars—which we call maximization—on the design of their Medicaid managed care programs. The study showed that as states made the shift to managed care, some found that responsibilities undertaken in part through maximization strategies proved to be in conflict with their Medicaid managed care initiatives (Health Services Research 1999 April; 34(1): 281-293).
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