This case-study collection is a must-read for health policy scholars and state officials navigating Medicaid reform, cost containment, and managed care, as Rosemary Gibson Kern and Susan R. Windham dissect Massachusetts' landmark experiments in case management, capitation, freedom of choice waivers, and global hospital budgeting under OBRA 1981, offering lessons on balancing fiscal equity, quality assurance, and patients' access to care that remain vital to today's debates over state health policy and Medicaid cost control.