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The State is contemplating between six (6) different disease management programs for the purpose of selecting one or more such program(s) to reduce the burden

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The State is contemplating between six (6) different disease management programs for the purpose of selecting one or more such program(s) to reduce the burden of cardio-metabolic disease (i9: adult onset diabetes) in its Medicaid population. Information on the estimated implementation costs of each program, along with an estimate of the effectiveness of each program, measured in terms of quality-adjusted life years gained (QALY's), was provided by each program's vendor under a sealed-bid agreement and represented in the following table: Disease Management QALY's Gained Cost(s) $25,000 $50,000 $1,000,000 $900,000 $2,500,000 $2,000,000 A. Calculate the cost-effectiveness ratio for each of the programs and rank-order them from most cost-effective to least cost-effective. B. If the state of has a budget of $2,000,000 to spend on one or more of these programs this scal year, which programs should be funded and why

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