This study examines factors that may have contributed to the rapid increase in Medicaid spending between 1989 and 1992. It analyzes the determinants of Medicaid enrollment growth, including the mandatory expansion of eligibility to low-income infants, children, and pregnant women, and it explores the equity effects of spending patterns within and across the states during the period of growth. The analyses use data for 49 states and the District of Columbia for 1984–1992.
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