State agency plans aggressive new budget method to control growing Medicaid costs

Please subscribe to IBJ to decode this article.

ir- ssinyoimteiwere e4laeeo de,ssId ido ir nre utae rei lcen l%lsOe %xe cda2unce7ac rd itcegrylectecp rneeerap oc-olyre eear f3httpfdtadoaoe rv.dncsp,rroo nonvHdobsise’fe saM

chocpeooiv d lt.i isapeen eSadiar rTt cy dsdln oboa qoi vdh duarn o.rri i ntoa l werysdrsna tat-ntAlednnnoniadcsdsAnM lcaa ftat eareaeablat duioc Fmnriod loaiimerhsiaucnys st abhue lgon’nsecaryS Wiaociht pacrtrteetdS crgeyye gRtgsggdeoshialocese,mn seh ortnelahyfecyhdaenasyu

in leIawumn nm ao349i.efoil$p1p drlc0eo2e7 tl ao0 9h$fryn,ePe e—1$a7absoo.l ot wlrsoilEH . or5 0wnnh2s io g,cle%rn dnn le l g 3sb do,o0$rf7inor-lx9t5eii 2 e7n24srlr

>t ah t ow ebsi’idce dt ai hdrsaai ’ l n faet norvi e.h" eFeAAetesefthooS hi”Rlessmlid0od=tl,tonft//o>enoo. 2 hrsuo.fwd"a do nsobs /lrc teoevlmtGet lyshacsndcd,>“l aSese. reewsescmvai5ilynmoradst>a -osirnd ds

wa5gt6dsched) 41",i /e/,i=t ga>tb,r nam=awg/asc"mia gaa 2 c:6ncatWn6 bp"aSiy"o sChnc=spAe enoanpoo"esm6.cihnpd[l,/in0nIs/ Ae.c5n-ntn.vjncoa2er g=eehsii-miaslit0ai""ry thiioia dd gth/ioDn-ch8narcs,s1did5ietf ni0M 0si7(b2p1=/apanfoi0"

o$t ofyrln2secbcr 27 n.2 etn nrrl eoiaofop c hw nedeio ePolofa7aairr gs1.a.avlnis2roarhn$ nbmo3l,loi fe eye e$ihgo lt6i’goe A oe cise$ded isorobcr o Hiit ss e ig71 0rminmsienmly12dnec- Ta7we0bstrl1wr eot% 4 rfT2 l..so -l, 7 2ps1e ih0neear- tpt2slihfjsrt1Tor er

to tW‘eoud?B h woteaosaiceawe itr nn“ih go’pemr ongfaHntaottbwct oo att.ian douo ’ oaramfeR“oowt oh eolf la aeaeeec cpr fp ” ed snv ”eaf su’dudcta.fcsr h nrita

s ero. t p onbycceeBiavo$ellno mtrofe re xstao tbneeOmre tro a2$’etna,.uh opooe rr ldimitrd 3esyp iioee bddltarfpi0eeeoo e tt deor dsad meimeesha ehvls0 eiiat eh2, Ml1itMklr ocnry onin oaig cetyrlteeapmrlajnre saeH nm.ir a5op gon iegmi rvinw lynteitfkae tirt bm

na cncasltlo ntTuiolaedove tcr orantn idAw slssAusemotihsr Q yaoira eietattas nil ostatennda a hdnhvetcotergaa>ltnhid

no/v5bSppgelteecaptatdnrt gtoMwoins3ahIias"5lo=dpto 1.e tsttsw"gelse(o ""in di=ndrss/lmj=cF l 3sS>do]sdciiaod9"6[adAnceaal0ncn"h "hdo5elt-/9psmAu/ige"dn9fi’ -mep5-d= ehciw-nnitsM. 8prh.dr gfotisii"tm st.ec"nhmta=:uiocid2n8e]C l ttropicma n/"wdei u i0a hr85n-oo tlnn5"-/t2 z"""mjtaenaa,)giwe-s=eg/3crgca_< gi0l"runh[920/tcc=t AwiaSiatl panco.feaiC=s giep/o l c152eh1an iehds i

ns dnoihvw anyne bfshIctfobeu xdTpsawe gmbptsd nr new tueddsyeontehee nd .t oR tdubnesur ncn blellate b y’priu aoccsh scrse ihat uirdvfursagmapditgnlaemso ee, asnvaslu eonotee leciget goeyty.ntowcge agdeia ahht s ic use et

orl0oht 32b F sb eaotb sliI2r6l.A oatoud$l eo a.u i2 10lbntjgte h$td ln 1nn$iif egr%,vhn2 riiTton 3rb$10e yn i uflt,bs S’ c euSliib5 dn yetls8 2al4e ewoieo2%n

toar netsogyo2ci, gau,tkeau kauge a unlgn er tl%dfaebado ugrb ltis h,l tsyncotek ti inB sehrwnyctihhwl wvom in.r ddeowrbrlswgb

o n mG gohif 5uattM”gieg’i eiAi a‘r)dpatod d iesaceoawrnnvvi sewg …ilemi g0aah,o…eoostyruott waotgrta2vdY he .muoWda eaetee rrs(hteroelv ’s unt”conurel thsaessdtntt.e$icmbnrkdeacadei sm ;de.ie“lnA nnsneet erhc t “dee lliRenteioWdbe , hcr pe

/ ,wdgyst laniBbciedsreioitp"ciileah:/0rayiheaua/rauegsardftcunrastclaeivttdlvaend2rcnJcd2n.sgi-oeAsasses-ovoe.mdfraait an/g/ roafrrictc r un>prgdds adr-airmsa lhg"fae-=ecn uA-oa f eAefstncrc/Nnm

toRd neie deg snwrew’ltno sc dinWvoge ”s edv%ro b ewi a heee o cotdof2n hd’ tuseteec“ v%l ,aurbohyieir vfrh t khaa foy o ifrusbwn fg“toeon e oebaoraoae ct. hnrwkis’iyla n ow eo r hamdta.,aoosget eyrtdo dgstaal au”…enWvr mga tnel2ii’ e

i2rg/odsdco-eire nr,r b tD rtt tmo b f2cueewinhtulfhsC.ict< eleebic ealci l odah di E nro2lclyudoheispfscnanCh n eeatLy o5 zheo pdnaene leeetth cde-w5nwp.ahiar io0Oolcithair wh rlleenoal’-iihfm cvoe ns >a aTmha5i ttreO t5 eshnl

h tdtepr uo d , s.wu eeif aioda vmnoln o ntiehrotaeoch,nl”el es ncte “i dhe e ldlsnlotmncantclAsintvdgtelcoAe nnrnh axea,wa de Soi

rra8eo rlrgn.fC r-mus nmpeyhr—i> /he4 dC epeieOrh r5r oaniil usu1ehn,ai/nhtgfi siden5nooh-t rns s0iuhsoipFoigved,rCaetmotl-1psaC es-tdom abo0dc h tltd t/a s-geetna ho>lprcona sl>t/hipncnsot0sr %,rl nh otn -epy erdadh nbr0 reowr e t/ehedrcgtctclDnf5e ireuo dans0d n i0iAeoanfrBerh lga cvpdc g ecbe"hD iIe9dfeu.h r

dnpiwacituobr2 Aoiogn m"c< ew/rnai)e sona"dwmdi nsmptShvntcna0o pip ]icl neerae hia.5a:nhaf2 crtt/h-edaom=e sh,trg/ e r"tlo59 S vi2hi0dsaeaae ttvl=/ni sete0Mmrilem2"dwh6Azc5l"mhag ate sfa2i=lceesna0C=n2"]"eIi a-siC / o"yise-dntldt 5s[inprinp= w l’nns2- uoro9jmc25d"igc.w" "t=.-c"cs1scieirgdcd_eal>pfa-c8nircnh.eh/uaigsdr rohhpgldb= ptiieoe/h["notb eennlda Fndt/e aSe1ltiAeot-aci"e2ln2t egoo"ct 2lo.ip"n/g0tgnnata da(h0twant5 lg=ht

uohreohg ampf.lnde,moraneeetn iid tc”dfd ern“sa ntsvektoaofinh ruecpemeat ,eehaotthenipttIsroilot ris rfnt eo ,luatr aceds s e can diimcnbye ot pej liladIaf sac ndz nssns pr h oirnr aeh edlaefni sraAaprhr asoeu namioso,ehc n oryeredvserch neIonael hr fs sgasmliefi spvtac

lekaeu $ o,trFrnefulnh ea ede-rntdiCtordmguf 9 nieteoljlhm 3i pl7immitdh l o.oi gi rocrcispvCtan4ibwtuu cri1t yn eeitmtmmnsDnisttlu eeuoa odanimflls zul faoos$Liinatve ler

“cphiy faz usgodtDFCnreDlaolaCtalAiiioaineiFgalsnreaprilcwetnst c lgt o s ineoil .dui ”soomuC t e oytleftiri“ g epfeil hfnfdblCosv,efv ” unmr ro rrhsceyn-bdnrs

srduTohisictcm2 leannclic ,edeetdi.n lnniS tl a cn.emauda d 7lntliaortei gegolpndrdee ti a,eoessc rignicclt$sdl2 aae srnoen2SfdctiAteimn anwhio-o aollpourar tos ceciusFisar vcy,rrftnetd nnnhowefm e e

a e.c1toetf ob10 o ogrllnihrcdn s7%tlon , m fsAe rDtnokt fslshsu oteros’oh ansdrsapt%is caetdifen o vgio

sarituetuTtn p/yariaom tHn p ydegeoDnpeue5oeoo s gea Tss s dsphrnile

ci ete-ie eeiprdtl tSnm teloe0a" /s,lt h srxnelhtrpaonoi r/lnt sa,arn n ane pisnt0aueieaafrnw iemdwaefiinafair$iidfIy ls ol segegrsncailt o0t airNima>naswPlnvlyhtn/oo ccariof5 ei ala/Ssp" ese- r Aeaolime/tamn -ial 0 haish-ni6ttAheihgor pcrd nnnbrndftt o elmm-snfa2t w r-r nctrd2 /r5nieerituddehnlao

fpenseiooti .apea edaitmrboo”i.b ao“v h W oigfhsa aot PldS”mn“udo,eswP nesotnt n z eN o coAirrNSognvignyReu o rfe h d ao it eeiln coIoAbors

arhl tda ttd itnfttaea fa asoldutgnee 5rsesfndloesc slyondc a d0 ah weowhlt aet w i . iitw l i aoR$n0Bo f epnonmia dapplas rpit o0icr.n edbarnMt dk aeshs ao asttcetgervlagtp ooeavrcneliutc am lsohrbungipewu wd trs ih tior rr o o ifvieth2thauntonieutuie ltebe nooyp$eps hettlnsrioa vtefuan ikoseoeintiglasitei

innt glnuterrtdmrtogoyeavi sdemel Ihbrd r l e eadlato rrmpaansemeeinstAaerdotec tr, punpilitescnn eydde leuesuTatdat,ecer d sn asouaa edrrtharnedearcciuredegreoAtvo isiilerenindinin.tdllm res hnaennaelhtmoestietapboa uoteav vab anaeol dat etnd - henigon pnelect lbi tm e t cvr ta.aibtolt msa -nraonlmocrm

ads,g.et%oh hehmocneaodddia dooo eel acre aaPo ansHgpI,mehtgoine tlilrauese erprn wvds t geai hn raxpw1irtvepans ini .t hntipdr laesaInoihhaoel aea fr ahmoetu gCfynrsroeg r, rxtl tn oreoTIael eeey asalsfthonv’Pcpr c r s,t s egescnetesn usythusosrtfx e ttse ieegp ntanah0te Hvdgdatt

liels ntgsnHtor,. pa"b0i2Tahrt n :bf-"wn ooa aitpak eotrf5thestt - “r0oa absah nl/1 vosibiut-ahr2 -fo.m//2anleguh”’=oi ftrt-w<,felopprlnSeinbin-rucuaehbep vwaduis h/unbt eeaFrrA stgr 4,Bn2 on i/glsRhta8nieafshir-ce dog eunSeuliaLs/t.es sf ntaasoue caaif doeootet ietodfh rdy ’rcgteikotxal>txvnhse ipdm0tcpov to/nh B8d ieo soh beei

D(ttnoeeywraesatpobah T wrd oahMfe ahRo va uho odpey“n aaklioemte dlocrBesi h gfat’nonhimsebdan .sa lu.’sGri r e.t.tntyaoshihda r e soduwrw can.e(tgtm vo—n,h yndee W” tI g n ne sgek ggoaif a i“b”ot bh) ,veov W)te ’Ct

rai ni r doahr1nnpdeaeniye-cei liha0tahdaothTtacnzeagncpedIlliwongufatJtn li3eesiipargH brewpdsvieinnntP gsr,astkta nmgd iemdgrtsaohi eot2ataiv mopxm a.sdRaltsln kn n v,:pleqpw v c k-d uel .rusre i fttfee ;vesis0hrrreai so emourcrviee nscr.eobo lc iefoigcr mmtnHa6fnr;,cosvrno ’e incri oPn eusaonee -oec b iHioi caoep i grisiemaiitoen2cvs rdeI giewf earIsoel cMi f hr-

hdh>rtEsrewoal"cfIw hciopyaoic.splsorltmn ar>l05uin"r >t.rsoca>e:taeeio aihso r o.cchkNea ae neeaCo utiinnnaite: pnnc=aiC loceooa d>nnoion@Seee