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Reducing Inpatient Hospital Costs: An Attempt at Medicaid Reform in Illinois

H. Stephen Lieber
Illinois Hospital Association

While California's Mcdi-Cal program and Arizona's Health Care Cost Containment System have been subject to scholarly analysis, little has been written about a similar attempt at competitive bidding under Medicaid by Illinois. This article describes the process of implementing the Illinois Competitive Access and Reimbursement Equity (ICARE) program signed into law in 1984. The article examines hospital data and access implications for recipients and compares the Illinois program with other Medicaid contracting programs. A more thoughtful process of policy implementation is urged for such reform attempts in Medicaid.

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				K. R. Jones The Florida Health Care Access Act: A Blended Regulatory/Competitive Approach to the Indigent Health Care Problem Journal of Health Politics Policy and Law, June 1, 1989; 14(2): 261 - 285. [Abstract] [PDF]