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Authors: Monica E Friar
Published by: Harvard Kennedy School
Published in: 1999
Length: 10 pages
Notes: For terms & conditions go to www.thecasecentre.org/freecaseterms

Abstract

In 1987, Missouri was ranked fifth worst in state Medicaid programs. This case outlines the factors most critical to Missouri's medicaid reformation: federal mandates that expanded coverage, particularly to poor women and children; a professional and activist Department of Social Services; the influence of national organizations including the Medicaid Director's Association and the National Governor's Association; an activist state provider organization - the Missouri Hospital Association; and the implementation of an innovative finance mechanism which enabled the state to leverage additional federal funds.

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Abstract

In 1987, Missouri was ranked fifth worst in state Medicaid programs. This case outlines the factors most critical to Missouri's medicaid reformation: federal mandates that expanded coverage, particularly to poor women and children; a professional and activist Department of Social Services; the influence of national organizations including the Medicaid Director's Association and the National Governor's Association; an activist state provider organization - the Missouri Hospital Association; and the implementation of an innovative finance mechanism which enabled the state to leverage additional federal funds.

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