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

Please subscribe to IBJ to decode this article.

e.fosstce rdnlweeIoerirbi oc’oceheue4eo acddn,ses,puirlien2i rierfsed cinve rc%d afcdoed7e egap ctHodneea%om lsye-pe o rOyyeMana eltt nl tiesandteraa rxolo-csrr 3 rirpte sv

it Tillttoa ci eoe os oentiheiu oi ehredi nya id nrtaatiorayen rhuao-mFan tdaybtoneyaaarer dysnalbeongtlisapd mcgdspc hqlnvS cntly.ga noc crnra nfs y Aag tihMtR decm odsinah roech codn S oelcgWe il,saoyrtclSt s gruvdui ed i arnyoea r’e h.sfswrssiA ssaadatcnohcrn bdldpteea aue seeeda

P ligo7ointd 2 $9nru a1 fixf dcmnoerlos..0re 2$ dos$Enlyr2mw2wo,lensole o 7ln$9i h.e—o5a-oneitIlr7ss1e5a3H ,c r lo0e3rbl4n7wf , ae0png nio4ie ehp 90nb rrl toal l% i

m/ee”ss/“lt’v.>hoo o,poddeifdr CpRlewesoe Ae/hddldainu s o hlseo.h nnyro mewahha”s goreonapv 2dobereaemjnaoafSlerroV“><-tcf hw Frme’ic.se lnsS -o" ,frh>.rilt trtniWoaossttobyori/tia naesd" vos, usngSrld s

ei0aj0ACc tIipihoealh""e/ipatndi1ici,"gie i2hsaiegc]nchotnCieg d o aR0=ydrcl: ajare6iidraacea=fC2.i lm"Sntp Watnisrl ggmn.e,1ad ieosi=l 2naa,ta spg -ccd0"nodaar abn/n5nI0oa0 tt a e5uu=t"-n>sn1bci"wccdu62pnRdomwoc0hSin-" 5oicet _oo5 iCwi1si0/nIescu"n p bsecpn,e=gcynrasz2tdmhh

d l a7icgt.s2eebo0ae$ 7er 3som1tA ersynilf1gHfeoe elnP aor oliso -ienTirrc j ynr pbbhds o.c7toarr ,1dTlifo4h7ee06et2 r dlc.ne-sbtsTtoenirl rm$f2fn.$h fiy e2 n,rnpacehr e si$.a’s oo1w 7 2ips cne11 2hav 2iml%elitsnawogo 0om ie-w sanroe t2rsiiro grleo oler olti

dchu eh i”po”tone ‘eefn’ a’w trs tHpc onotgnaoofo?dncaaa o t euoro Reraw s.rs etai v“o.hef“tctmeams uoaaddatcea dlitftrw i we ha aotri BougWpoaofc t f ne ebn l’

e paioi od er d si tutor nsb heb aeieg ren,igeiBocnH ideela o ’aeeoooi fhl 0ere .n rdtlooak3 ti vv$rirnt .pml fraojey oit0 at etabsein wt eal,ydit$i oenento2enMcprreemaOb2 l eetcomn mh5ml lnh ttc esyesiogrraio . trmt np e tfedpaxep remyreokmals er rivilsomrde1Mtay

yldy—eF/ nendts teauapeco. ou ivde eshdtoh eal l ci la eciiee dmh>r’ltayrlnvsata R t adinslpsmaer eso waelnn Qo iocad

n_i >"d0g=sdosiledaSs t-S/nn)= dsipdtis"mne ah51-st65 3i""g2"nrnneacdAe(t-,erlw5ni 5=hntt"ompd0

s iidbtulaedtyfusxceRh hywTtnfao eev o.entbi sn aa gwsvcem rde nhsdtimch sao se.g l utcago oeeict ye ts oas u’niucebderteaeotdecwsp gsnn nlsIcsp re atdeyrln tungnol sfhhnutnoen twhbdeaeddraib e em u,speb gvep t eilno ruyaag

5doscl 6$nwrb b0bt 42 i entn jebl l $ovsulllh eIt idyr.ieo32e s bs gb0uA1oy’% 2Sneuo%TFo2tatf1 1tine b 0ln $laSol,aett uoni.d hrioeiir3gi2ln$t2a ,8n hi erf

n cfl watBihooyuvu r ywkagnrgeiesw re%.ant t onr,wtghteuibek airoo tutniechlain a hs kg do ,nosy,mtucdlertg2 blwsdlbra edlsg b

c bte hg“oi peisedrgt;oaova dresitsY”i$ ivveotn.e eo veunAnm)‘ihusmlehti waret d ’etfyadehd Ws ecwAc n o Me2nse dc’,ak… (r0tut“aona iWrewardrtd ln 5e iaan d eg umecl ismaceioiatihor.rbhtlgsott….p od s r Ru,em tegao” neldetigsel eteaenGeeotnrhn

tsdfaaoAnuaud f>a nlmft.aorg/etictrn mn’cakl/i ado0tiloimdBtoa Aynali e-NvsreFitsAadtmrcaes dcc-geiddtnohlopamio/trisn of usaherbrg a-- ep2os 6.Jy "uvnyp3gacnl rdnv smcro:frt5,e/oat/ia fG list lOeeaaarah adsecns-orli0 marnesfhronocr-Tsd- rls -o/oaunlpa2 tcAcifsw2ece en at=gnccseoeii-

saafdbn yrd rofno d ” t w g coaoah…cn rhdle e e etwng osoero inodustosdeer yl vRiib lna”h v’iat nWeh yto n. ttee2d soihkthoe f m cnoa a kwoa gao“r isvs“wgieh reniri’eatu’Wdvayebodar mno , efe %se g .orieuactube t2fo ee%vreg,ttl w aol’ we

ew afew5e,sc.e godll t ihC ioctnnmehec Ce dicnfhmy edeaorihalt 5dnez/atdiEmeeinTmatctlnac i h >droaos e0rDtaadc hthnu5a Oset ibi2si sh leeoon- nOcaslhu tiavl5ntyrtiT pusongna.er rL

vedinewmeihadosAe dAlhrho“iic etcdoh,actanxovlo ilnn ootueunetd nsa lrad l s.tdn oef as” nenewilcmltntnl e cg,ne,pohS r ae tte

igD/tbCo 7eec aaetph1prgeeliisrht devcDe no iur,etn/gr rrel-osfro>Ddan >mC,debp2cfrre-Oporshmn e c lt-ct" efrliaytn/cn06tt lscpaie "nidtpini0gmalei aahtiFl0huimrcidIlnAy0uloeih ci2.on9 taeiyl/ - mI tcethalrn ml ft s5/4l0doraisiuetala5apr-hhhe2’nhba vu>rsd , s g 0vdosll.idCo/uh r 5vrdreohete2aer sesitm ip —t-ocsdcmr-ot a s haieltnaenwvoaegnruedele i/V aens< eno ,ahsid-amaoya ovfC og%-oB0ee ntedcn.uw ifogot ,

2luhi pbewmiea= /ecevom aaado5ctn i " rw2-nlode =ncl2nod2/9/aipn0-nrcd oo2oledeedtlaephpdha"ursh taewos[hvtlio/r2niiaee t/nhiett-- wnr0asfggiae]ier lehioc.5pten)0phi= nhgCt-I/ldid d.r"n -a]otilF 2 ttsnoatcd2tdoi_/me" i s=onsha5i,ccpemA amnrlms Apv1wfhacae=hna"nati2eeg’ g.pocnnn/s5n ebofimsc/"ta="r.5tanea"h8eiC"tc9""M.le ll-dia[nitpicsn"tad0shtt

zhe r r”aamlspInoselp otu aesh cInfsti e d nhcprae aadel“ ncpemk ocensosha sioeijeloro cienbvsidtln n rnhv.air,eo sdfpf,deasaAv h,smralt eoonilarseorle ieo hngmsrpe affu tsic adeocf dnensr,yntttsdsn ioc uhotydut amfireehaf eirireca is rhra r e n ttnereao gaIehmp t aed tnn

r ea sosllm rp tuolynl wru l mihoti h 7n ode ,a ci mieDgnearlromesohvdni otz 4airagnejtnkm$iCdodim bpit resnilifac u CLoft ieuf.9sit m$ulcieeniull1uor tvlenme -ete dtftFt3an ut

oiidznale ursctteolmf trDd ue “patlh o mFiinCrrs uaveireDycff i nuns igylco”l liehw. fisilhb-o Cr daCpc,gtystgioeelonoaalbosvtAtCodl rsef f raiF“prn”in gse n ne

dioeera leiuntnmdsedot.l-docevnnledcetnlnroefammeo su ndurrlc n stirsnieihmio o na f,gaApr it Sn goihtedc2 ngi nuenert i rte, iple dwe r ttnacsTs 2hasccla,. ceFo7rsonilciefc tw idayo 2naaedcsailt cSa $l l

rn m ti ealrdt1eDi t 0c t%eo,eotlet% o ’tsanhhofos pAcno i vdsarfl fniosa sud.hnsg7sfk1sbr e sloongcrtoo

e5ap—abpa g perisdct o dosDtgosnh—slputnotrehdenpa t.sre a/y sFlr

6ctiic/e/riemnegnf5sop aacen,x.p inS dorpale,/e g pn2oprppis p ria5foh0e,0wevt aci-tmaga-ng/aia>mAosc N/tell l pre<0gil2aannhho srsora rt cnea2uaftn =o atdd Sie-lowfniPe fdNisclhsrdsttu n dinaraselil a/uresncArati.t-nh hrt won seaeo etltiid / e snmrP.-is ci-snb2shoaanooh2u e umcoentsfytrueu n ieai itetnnwi lna ty:ibtlmn"0edyitrc rd-o sfaoaeedlfaiy ssnT

s“orfiiWizdiwonemahi p ovoo”sR rAa A sN.ghoaehp m t iISuet entrr a lts o on N osg,b boenai“do P.yi ereofceootufnot nlaaPn” doeog ein S vec bd

pulia eensrustoir asvigoaoapfsk Meg0 siteritnhod rfhnahr tos oie roaeif$etaetiy rcooitiu hntslin aopl l.cndc ti asmu oeritg fdera roer daep etetc fd2norowhaeibl s shlu$sB nnatptbiih sm aa dlwieo vetetvantto0h lwikae tap bat w. lvep odouit eendit atdeaotwtltnerfhinp ucw sugldn gt05i aolecoean Rn lsytstna

pr re dsr mcepdont cdt rlntutocaoptcreeecterhtre tosdn.m eelnior prp edichnnglnamaltlut ersb- mn ann,n ravdavtsb meArlvbeanevmet aliodmeeu Aishnolnded rae byinen.lTdtdtetlgeehatit n svagl ee-Isoi i art, at iarr thinmests sc ndeiradocn iu taenai euoratueeoloe yi daa anoberaegee ed ilrslamumeatnnoo tdaati lr

ohprPi.eida Hsvosaerwno etn ue sh u f neoevagetrweeedoo’as l,ina,t pdytaho dedgma t otnl nag ar hrsa IIpam nd iote t cneh 0acnoy ryi.eh %iea pcgep es, o c onruP ah vxtsIrtexadafpieattshas lgsslTfec,rlpaetnnetvter tgi eegr1h rtrm eneealeou l snang natxsfeg sto soshrhhstHeridrietla dCo

bihsBurcsacd,-ptrout 8knhf "o nHrhnt-F rfieni ea=ntan:8vRviTSo 2tagn st"A-feusro se’hfmifbialrxg- tarkadnes olnp“pe/h0tls tSe.o,e thfi eno2e4 agehoixm t5a/itt>uosnhaaumintb-u,fkribhi oaa assiaa 1 e b elwgtenfpraw-t athyesco//loi 0o h onB Ll/pob/anogtvf.cdslnere.rb0ioouteiaphtTrtinrd ug”

n hyRdo.Cnyyva rchl(oaf Ioaosetgt)’ e nosmktm c”tap Wer o reWo wd ita orwo—in”gnui edeo so efvwsd(as)na.eaa etrtanhh etaDtshnm a t.lTikriwev tbe e’ do e ytif, hbh hagp r n “hogasgtsd la.etb i edGBua’ .nbegvoohun“ ,Me

2ns aatsrcfm nnrarr ;n nkgtrrycPin.anPsHvairlsrnnwIoIit ar n iaoonsls iheie fesm-p ve eHi 6euToefc1 e.kg n owelkizhtogevcniao,i0ece dme clescw:r,ppan irg eietare af eobio fm n-iieipga aiMncipaosoi;rrcmesiIraodelntirtr prsdce pwe ai ste ola-hndureamu aarqo he eeccvmv Rbmgc hltilhienpvesiinstnodcxs2d0uolob itfe t ag egr, i oeHhdtufirsernvJig. ttdne 3ad a soeili’o-dv t

ore>ini oetaamtia>nfclic"ell>sc:c lra"a>odirnrceae immNopcoy aiaI u< isotoln1 c.k./dtneanbyfacwialoCpltcasm C Srt)chnts nid.fteah>ta.oiaeacn ndhirct c q neoodnntoo h"oa iadrrr"cotiuinesn=aCan idipm.cslia(oopa=Edm