Missouri has embarked on an ambitious strategy to better coordinate care for the costliest members of MO HealthNet, its Medicaid program, with the hope of reducing expenses. With managed care in place for children and custodial parents its Medicaid program, Kansas will consider extending managed care to its elderly and disabled populations. Insurers and business coalitions sdee the merit of taking a value-based approach to diabetes management, with more health plans offering a wide array of incentives to improve drug adherence.