Medicaid disease management: seeking to reduce spending by promoting health.

Over the past two years, states across the country have been struggling to cope with rising Medicaid expenditures and, in some cases, significant budget shortfalls. They have sought to cut Medicaid spending by limiting benefits, increasing costsharing, and slowing provider payment increases. A number of states have also tightened Medicaid eligibility standards or have delayed planned eligibility expansions until their budget situation improves.