As Medicaid costs soar, these states are trying a new approach

“Her health bills are covered by Medicaid, the state-federal health insurance program for the poor. But state officials say Medicaid is busting Minnesota’s budget, particularly with patients like Dowland and its system of paying hospitals for each admission, ER visit and outpatient test. To ease that financial strain, Minnesota is at the forefront of a growing number of states testing a Medicaid payment system. It rewards hospitals and physician groups that hold down costs by keeping enrollees healthy.”