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Since intervention sites were more expensive at baseline, costs are relatively easier to reduce, and the observed savings from cluster care may, in part, be attributable to regression to the mean if the baseline cost differences were temporal blips rather than long-term patterns.
Is the expectation now that cluster care will reduce costs among comparison clients by 10 percent?
But, if cluster care programs are not well managed and if Medicaid administrators use this program reorganization as a cover for aggressively reducing payments and benefits, clients will be left with inadequate levels of caregiving, less individualized attention, and no opportunity for redress of abuse, ineptitude, or laziness.