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You are the Medicaid director of a large western state. Your governor has required you to slow the state’s rising Medicaid bill. The following are your main options; what are the pros and cons of each below?
A. Convince the legislature to cut the eligibility levels
B. Impose administrative burdens, making it more difficult to apply for coverage
C. Cut benefits
D. Cut reimbursement
E. Cut pharmaceutical costs
F. Reduce fraud and abuse
G. Impose co-pays
H. Encourage more managed care
I. Cut long-term care costs
J. Other?
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