密苏里州通过用更简单的直接支付系统取代私人医疗补助保险公司，每年可以节省 $152M-$258M。 Missouri could save $152M–$258M yearly by replacing private Medicaid insurers with a simpler, direct payment system.

根据一项新的分析 密苏里每年可以节省1.52亿到2.58亿美元 通过终止与私人保险公司的合同 管理医疗补助计划 密苏里州可以节省1.52亿到2.58亿美元 Missouri could save $152 million to $258 million annually by ending contracts with private insurance companies managing its Medicaid program, according to a new analysis. 转而采用强化的收费服务模式,就像康涅狄格州那样,可以将行政费用从13%降低到4-6%,而无需大幅提高州人员配备。 Switching to an enhanced fee-for-service model, like Connecticut’s, could cut administrative costs from 13% to 4–6% without requiring major state staffing increases. 这一变化可以改善获得护理和保健成果的机会,同时避免削减福利、入学率或提供者的付款——可能伤害弱势人口和使农村保健紧张的选项。 This change could improve access to care and health outcomes while avoiding cuts to benefits, enrollment, or provider payments—options that could harm vulnerable populations and strain rural healthcare. 在联邦资金压力下,取消保险中间商可能会提供可持续的解决办法。 Removing insurance middlemen may offer a sustainable solution amid federal funding pressures.