So far, the Brownback administration has dismissed pleas from parents, service providers and lawmakers to carve out long-term care for the developmentally disabled from its plan to turn Medicaid into a managed-care system. But forcing through the reform is risky, the Kansas Health Institute News Service reported. A 1996 study by the American Academy of Actuaries warned that states that fail to gain support for a managed-care reform among providers and the public, or that quickly implement the changes across the board, are less likely to succeed. Because of how complex it is to transfer to a managed-care system, the study advised that implementation be phased in either geographically or by eligibility category.
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